Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen T. Wagner, MD, PC

Organization Family Medicine Physician · NPI 1932379344

Kathleen T. Wagner, MD, PC is a Family Medicine Physician in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2008.

Licensed in
NV
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3120 S Rainbow Blvd Ste 202
Las Vegas, NV 89146-6236
Phone: (702) 364-9988
Fax: (702) 364-0880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9669 (NV)

Record details

NPI number1932379344
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Wagner — Medical Director · (702) 364-9988
Other names Pioneer Family Medicine
NPI enumeratedMarch 3, 2008
Last updated in NPPESMarch 3, 2008
Mailing addressPo Box 81348, Las Vegas, NV 89180-1348

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