Wagner, Kirstin Lynette

Wagner, Kirstin Lynette is an individual health care provider with primary practice located at 1520 San Pablo St Ste 4300 , Los Angeles CA 90033-5330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Wagner, Kirstin Lynette can be contacted via phone (323) 442-5849.

Contact Information

Primary practice address
1520 San Pablo St Ste 4300 Los Angeles CA 90033-5330
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA52754 California

Profile Details

NPI number 1376912212
LBN Legal business name Wagner, Kirstin Lynette
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2015
Last updated Jul 21st, 2022 - about 4 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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