MR. Kevin Dale Wagner MSW

  • NPI 1215139894
According to our database, the NPI number for MR. Kevin Dale Wagner MSW is 1215139894 and activated since 16 years ago. MR. Kevin Dale Wagner MSW is an individual provider who specializes in Clinical, and the primary practice location is 1500 N Westwood Blvd, Poplar Bluff, MO 63901. You can also contact MR. Kevin Dale Wagner MSW via telephone number is (573) 778-4631. Provider NPI information was last updated on 12/26/2013.

Recently Active NPIs

Overview of MR. Kevin Dale Wagner MSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/05/2007
  • Last updated: 12/26/2013

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: SW 04619
  • License State: MO

Provider Mailing Address

  • Address: 1500 N Westwood Blvd
    Poplar Bluff, MO 63901
  • Phone: 573-778-4631
  • Fax:

Provider Practice Location

  • Address: 1500 N Westwood Blvd
    Poplar Bluff, MO 63901
  • Phone: 573-778-4631
  • Fax:

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: SW 04619
  • License State: MO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 498307107
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MO
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Kevin Dale Wagner MSW?
  • A: The npi number for MR. Kevin Dale Wagner MSW is 1215139894.
  • Q: What are MR. Kevin Dale Wagner MSW's specialties?
  • A: MR. Kevin Dale Wagner MSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for MR. Kevin Dale Wagner MSW?
  • A: The medical license number for MR. Kevin Dale Wagner MSW is SW 04619 and issued in MO in USA.
  • Q: Where is MR. Kevin Dale Wagner MSW practice location?
  • A: MR. Kevin Dale Wagner MSW is practicing at 1500 N Westwood Blvd, Poplar Bluff, MO 63901.
  • Q: How to contact MR. Kevin Dale Wagner MSW?
  • A: You can contact MR. Kevin Dale Wagner MSW via 573-778-4631.