Wagner, Kimberly Dawn

Wagner, Kimberly Dawn is an individual health care provider with primary practice located at 5233 King Ave Ste 4004-L , Baltimore MD 21237-4003. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Health Educator, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Wagner, Kimberly Dawn can be contacted via phone (443) 692-1236.

Contact Information

Primary practice address
5233 King Ave Ste 4004-L Baltimore MD 21237-4003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X
Pharmacy Service Providers / Pharmacist 183500000X 14962 Maryland

Profile Details

NPI number 1437272150
LBN Legal business name Wagner, Kimberly Dawn
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Aug 31st, 2023 - about 3 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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