Whalio Doctors

NPI 1659612745

Kelly Ann Wagner

Practitioner Specialist Norristown, PA

Practice location

Address
727 Carmen Dr, Norristown, PA 19401-3545
Phone
(484) 250-1970
Mailing address
727 Carmen Drive, Norristown, PA 19401

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence OCO11666 (PA)

Registry record

NPI
1659612745
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Mar 2013
Record last updated
14 Mar 2013

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.