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Contact Information

KRISTIN D WAGNER, A.P.R.N.
915 W MAPLE
COLUMBUS, KS66725
 Phone: 620-429-4988
 Fax: 620-429-4978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KRISTIN D WAGNER · (Female)

NPI # 1205105624
Status Active
Credentials A.P.R.N.
Entity Individual
Enumeration date 12/14/2011
Last updated 03/26/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 53-75551-21
  • MO License # 2013007658
Hospital affiliation(s)
  • MERCY HOSPITAL COLUMBUS - (Critical Access)
    220 N PENNSYLVANIA AVENUE
    COLUMBUS, KS 66725
  • MERCY HOSPITAL JOPLIN - (Acute Care)
    2817 ST JOHNS BLVD
    JOPLIN, MO 64804
  • PREMIER SURGICAL INSTITUTE - (Acute Care)
    1619 K HIGHWAY 66, PO BOX 127
    GALENA, KS 66739
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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