Individual
KAYLA ROSE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 DELAFIELD ST STE 209, WAUKESHA, WI 53188-3403
(262) 542-0444
Mailing address
1111 DELAFIELD ST STE 209, WAUKESHA, WI 53188-3403
(262) 542-0444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
02/20/2025
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