Individual
DR. THOMAS WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 S 5TH ST, BARDSTOWN, KY 40004-1142
(502) 348-6309
(502) 348-2793
Mailing address
201 S 5TH ST, BARDSTOWN, KY 40004-1142
(502) 348-6309
(502) 348-2793
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57668
KY
Other
Enumeration date
03/24/2016
Last updated
02/24/2025
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