KIMBERLY D WAGNER PA-C
NPI 1992821789
Physician Assistant in Carthage, MO

Active since March 22, 2007
3071 S GRAND AVE, CARTHAGE, MO 64836(417) 358-4811(417) 358-4781 Get Directions Write a Review

NPPES record last updated: September 4, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly D Wagner Pa-c NPPES

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

KIMBERLY D WAGNER PA-C (NPI 1992821789) is an individual physician assistant in Carthage, Missouri, licensed in Missouri (2004003094) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1992821789
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY D WAGNERCredential: PA-C
Location Address3071 S GRAND AVECarthage, MO 64836-7851
Mailing Address3071 S Grand AveCarthage, MO 64836-7851 · (417) 358-4811 · Fax (417) 358-4781
Fax(417) 358-4781
Sole ProprietorNo
Enumeration DateMarch 22, 2007
Last NPPES UpdateSeptember 4, 2009
NPI 1992821789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 2004003094
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3071 S GRAND AVE, Carthage, MO 64836

Other Identifiers 1

Medicare PIN151410003

Other Providers at the Same Location NPPES 11

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

Clinic/Center (Rural Health)
3071 S GRAND AVE
CARTHAGE, MO 64836
Internal Medicine
3071 S GRAND AVE
CARTHAGE, MO 64836
Social Worker (Clinical)
3071 S GRAND AVE
CARTHAGE, MO 64836
Clinic/Center (Rural Health)
3071 S GRAND AVE
CARTHAGE, MO 64836
Family Medicine
3071 S GRAND AVE
CARTHAGE, MO 64836
Nurse Practitioner (Family)
3071 S GRAND AVE
CARTHAGE, MO 64836
Nurse Practitioner (Family)
3071 S GRAND AVE
CARTHAGE, MO 64836
Nurse Practitioner (Family)
3071 S GRAND AVE
CARTHAGE, MO 64836

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 1992821789. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Kimberly Wagner located?

Kimberly Wagner practices at 3071 S Grand Ave, Carthage, MO 64836. The listed phone number is (417) 358-4811.

What is Kimberly Wagner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Wagner was last updated on September 4, 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.