Individual
KELSEY WAGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
800 ROSE ST FL 4, LEXINGTON, KY 40536-7001
(859) 257-4554
Mailing address
1108 SQUIRREL NEST LN, LEXINGTON, KY 40509-4690
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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