Individual
MRS. KENNA LEA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
2121 7TH ST, PARKERSBURG, WV 26101-3803
(304) 485-1721
(304) 485-6710
Mailing address
2121 7TH ST, PARKERSBURG, WV 26101-3803
(304) 485-1721
(304) 485-6710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
025229
OH
363LF0000X
Family Nurse Practitioner
Primary
103969
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0397748
—
OH
Enumeration date
07/05/2019
Last updated
04/29/2026
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