Individual
DR. KIRSTEN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4151 FOOTHILL RD, SANTA BARBARA, CA 93110-1110
(805) 681-7500
(805) 681-1768
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2019-00782
NC
207W00000X
Ophthalmology Physician
A168573
CA
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
A168573
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A168573
MEDICAL DEGREE
CA
Enumeration date
04/06/2015
Last updated
08/15/2023
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