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Individual
DR. KENDALL DARREN WAGNER
Active
Individual
DR. KENDALL DARREN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-8349
AR
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
E-8349
AR
208000000X
Pediatrics Physician
E-8349
AR
Other
Enumeration date
04/07/2010
Last updated
09/13/2026
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