Individual
DR. KIMBERLY DAWN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(443) 555-5555
Mailing address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
183500000X
Pharmacist
Primary
14962
MD
Other
Enumeration date
04/09/2007
Last updated
03/10/2025
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