NPI 1588082408
Kelsey Lee Wagner, MD
Practice location
- Address
- 146 W Dale St STE 102, Waterloo, IA 50703-1901
- Phone
- (319) 235-5050
Registered specialties (2)
Obstetrics & Gynecology Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1588082408
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Mar 2014
- Record last updated
- 5 Nov 2018
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.