KYLE ALEXANDER WAGNER

FORT CAMPBELL, KY
NPI1104598895
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-09-30
Last Update Date2022-11-04
Business Address
KYLE ALEXANDER WAGNER PA-C
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 805-206-8883
Mailing Address
KYLE ALEXANDER WAGNER PA-C
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number:
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