Wagner, Kelly Jo

Wagner, Kelly Jo is an individual health care provider with primary practice located at 12650 W 64Th Ave Unit E501, Arvada CO 80004-3893. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Wagner, Kelly Jo can be contacted via phone (303) 431-4127.

Contact Information

Primary practice address
12650 W 64Th Ave Unit E501 Arvada CO 80004-3893
Phone: (303) 431-4127
Fax: (303) 431-4553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0990570 Colorado

Profile Details

NPI number 1861738981
LBN Legal business name Wagner, Kelly Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2012
Last updated Mar 4th, 2016 - about 10 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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