KENT R WAGNER

GARDEN CITY, KS
NPI1629062302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  1500742)
Enumeration Date2005-09-08
Last Update Date2013-04-25
Business Address
-- KENT R WAGNER PA
311 E SPRUCE ST
GARDEN CITY, KS 67846-5679
Phone number: 620-275-3700
Mailing Address
-- KENT R WAGNER PA
311 E SPRUCE ST
GARDEN CITY, KS 67846-5679
Phone number: 620-275-3700
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