Individual
FALON WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
8548 N ROBINHOOD AVE, KANSAS CITY, MO 64154-1173
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
2012004690
MO
Other
Enumeration date
02/10/2025
Last updated
02/14/2025
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