KELSEY LEIGH WAGNER

CHEYENNE, WY
NPI1538647631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WY  PT774)
Enumeration Date2018-07-31
Last Update Date2018-07-31
Business Address
KELSEY LEIGH WAGNER PA
214 E 23RD ST
CHEYENNE, WY 82001-3748
Phone number: 307-634-2273
Mailing Address
KELSEY LEIGH WAGNER PA
214 E 23RD ST
CHEYENNE, WY 82001-3748
Phone number: