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Contact Information

KATHERINE A WAGONER, LPN
6360 W. CENTER AVE
LAKEWOOD, CO80226
 Phone: 303-347-8848
 Fax: 303-997-6123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assistant, Podiatric

211D00000X
Indicates primary specialty

NPI Profile & details for KATHERINE A WAGONER · (Female)

NPI # 1447496500
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 12/19/2008
Last updated 12/19/2008 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 12867
Hospital affiliation(s) Not Available
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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