Individual
DR. KIMBERLY ANNE WAGGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4241
Mailing address
ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RTL25-0048
NC
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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