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Kelsey Lee Wagner, MD
Obstetrics & Gynecology Physician in Waterloo, Iowa
NPI 1588082408

Kelsey Lee Wagner is a Obstetrics & Gynecology Physician based in Waterloo, IA. Kelsey Lee Wagner practices in Waterloo, IA and has the professional credentials of MD. The NPI Number for Kelsey Lee Wagner is 1588082408 and holds a License No. (Iowa).

The current practice location address for Kelsey Lee Wagner is 146 W Dale St Ste 102, Waterloo, IA and can be reached out via phone at 319-235-5050.

Location: 146 W Dale St Ste 102, Waterloo, IA, 50703-1901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588082408
Provider Name
Kelsey Lee Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
146 W Dale St Ste 102, Waterloo, IA, 50703-1901
Phone Number
319-235-5050
Fax Number
Provider Enumeration Date
03/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
146 W Dale St Ste 102
City
Waterloo
State
Iowa
Zip
50703-1901
Phone Number
319-235-5050
Fax Number
person
Provider Business Mailing Address Details
Address
146 W Dale St Ste 102
City
Waterloo
State
Iowa
Zip
50703-1901
Phone Number
319-235-5050
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
45404 (Iowa)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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