KATHLEEN THERESE WAGNER

LAS VEGAS, NV
NPI1952342933
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NV  9669)
Enumeration Date2006-06-09
Last Update Date2018-08-20
Business Address
KATHLEEN THERESE WAGNER MD
4920 W LONE MOUNTAIN RD
LAS VEGAS, NV 89130
Phone number: 702-655-0550
Mailing Address
KATHLEEN THERESE WAGNER MD
PO BOX 98978
LAS VEGAS, NV 89193-8978
Phone number: 702-216-3346
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