KIMBERLY ANN WAGNER RN
NPI 1497379788
Registered Nurse in Kalamazoo, MI

Active since June 02, 2020
6480 TECHNOLOGY AVE, KALAMAZOO, MI 49009(877) 385-0535(269) 250-8020 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Ann Wagner Rn NPPES

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

KIMBERLY ANN WAGNER RN (NPI 1497379788) is an individual registered nurse in Kalamazoo, Michigan, licensed in Michigan (4704315041) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1497379788
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameKIMBERLY ANN WAGNERCredential: RN
Location Address6480 TECHNOLOGY AVEKalamazoo, MI 49009-8119
Mailing Address22401 Happy DrCassopolis, MI 49031-9700 · (574) 238-5500
Fax(269) 250-8020
Sole ProprietorYes
Enumeration DateJune 2, 2020
NPPES CertifiedJune 2, 2020
NPI 1497379788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in MI · 4704315041
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
6480 TECHNOLOGY AVE, Kalamazoo, MI 49009

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6480 TECHNOLOGY AVE
KALAMAZOO, MI 49009
Registered Nurse (Infusion Therapy)
6480 TECHNOLOGY AVE
KALAMAZOO, MI 49009
Pharmacy (Specialty Pharmacy)
6480 TECHNOLOGY AVE, SUITE A
KALAMAZOO, MI 49009
Registered Nurse
6480 TECHNOLOGY AVE
KALAMAZOO, MI 49009
Nurse Practitioner (Gerontology)
6480 TECHNOLOGY AVE
KALAMAZOO, MI 49009
Registered Nurse (Infusion Therapy)
6480 TECHNOLOGY AVE
KALAMAZOO, MI 49009

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 Kimberly Wagner's NPI number?

The NPI number for Kimberly Wagner is 1497379788. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Kimberly Wagner located?

Kimberly Wagner practices at 6480 Technology Ave, Kalamazoo, MI 49009. The listed phone number is (877) 385-0535.

What is Kimberly Wagner's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Wagner was last updated on June 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.