KRISTEN LEIGH WAGNER

LITTLE ROCK, AR
NPI1740731306
Former NameKRISTEN LEIGH JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2016-10-19
Last Update Date2019-01-11
Business Address
KRISTEN LEIGH WAGNER PA-C
800 FAIR PARK BLVD
LITTLE ROCK, AR 72204
Phone number: 501-604-6900
Mailing Address
KRISTEN LEIGH WAGNER PA-C
800 FAIR PARK BLVD
LITTLE ROCK, AR 72204-1720
Phone number: 501-978-2623
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