Individual
KENNETH WADGINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5-3845 COMBAT MEDIC DRIVE, FORT BRAGG, NC 28310-9610
(910) 394-1059
Mailing address
5-3845 COMBAT MEDIC DRIVE, FORT BRAGG, NC 28310-9610
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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