MS. KELLY ANN WAGNER LPN
NPI 1407180268
Licensed Practical Nurse in West Bend, WI

Q: What is Kelly Wagner's NPI number?

The NPI number for Kelly Wagner is 1407180268. It was assigned to this individual provider in the NPPES registry on September 28, 2009.

Q: What is Kelly Wagner's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Wagner was last updated on September 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 28, 2009

1143 VOGT DR APT 14, WEST BEND, WI 53095(262) 483-8439(262) 353-3484 Get Directions Write a Review

NPPES record last updated: September 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Kelly Ann Wagner Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY ANN WAGNER LPN (NPI 1407180268) is an individual licensed practical nurse in West Bend, Wisconsin, licensed in Wisconsin (302197-031) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1407180268

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. KELLY ANN WAGNERCredential: LPN

Location Address1143 VOGT DR APT 14West Bend, WI 53095-5505

Mailing Address1143 Vogt Dr Apt 14West Bend, WI 53095-5505 · (262) 483-8439 · Fax (262) 353-3484

Phone(262) 483-8439

Fax(262) 353-3484

Sole ProprietorNo

Enumeration DateSeptember 28, 2009

✔ NPI 1407180268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in WI · 302197-031

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1143 VOGT DR APT 14, West Bend, WI 53095

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Wagner's NPI number?

The NPI number for Kelly Wagner is 1407180268. It was assigned to this individual provider in the NPPES registry on September 28, 2009.

Where is Kelly Wagner located?

Kelly Wagner practices at 1143 Vogt Dr Apt 14, West Bend, WI 53095. The listed phone number is (262) 483-8439.

What is Kelly Wagner's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Wagner was last updated on September 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.