Whalio Doctors

NPI 1447496500

Katherine Anne Wagoner, LPN

Practitioner Podiatric Assistant Lakewood, CO

Practice location

Address
6360 W. Center Ave, Lakewood, CO 80226
Phone
(303) 347-8848
Fax
(303) 997-6123
Mailing address
6360 W Center Ave, Lakewood, CO 80226-3401

Registered specialties

Podiatric Assistant Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 211D00000X Licence 12867 (CO)

Registry record

NPI
1447496500
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Dec 2008
Record last updated
19 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.