Individual
KOLE WAGENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
3170 WOODVIEW RIDGE DR, KANSAS CITY, KS 66103-3601
(816) 807-8067
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NA
MO
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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