Wagner, Kell

Wagner, Kell is an sole proprietor health care provider with primary practice located at 1040 Crater Lake Ave Ste D , Medford OR 97504-6295. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wagner, Kell can be contacted via phone (541) 840-7684.

Contact Information

Primary practice address
1040 Crater Lake Ave Ste D Medford OR 97504-6295
Phone: (541) 840-7684
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C6938 Oregon

Profile Details

NPI number 1841660636
LBN Legal business name Wagner, Kell
Credentials NCC, LPC ASSOCIATE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2015
Last updated Jan 18th, 2024 - about 2 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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