Individual
KAYLA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 CRYSTAL DR, BUCKHANNON, WV 26201-8894
(304) 613-1280
Mailing address
76 CRYSTAL DR, BUCKHANNON, WV 26201-8894
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WV
Other
Enumeration date
10/04/2025
Last updated
10/04/2025
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