Lee Wagner, Kelsey

Lee Wagner, Kelsey is an individual health care provider with primary practice located at 146 W Dale St Ste 102 , Waterloo IA 50703-1901. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Lee Wagner, Kelsey can be contacted via phone (319) 235-5050.

Contact Information

Primary practice address
146 W Dale St Ste 102 Waterloo IA 50703-1901
Phone: (319) 235-5050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 45404 Iowa

Profile Details

NPI number 1588082408
LBN Legal business name Lee Wagner, Kelsey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2014
Last updated Nov 5th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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