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

Blair Kelly Wagner, DNP

Individual provider Nurse Practitioner · NPI 1518509777

Blair Kelly Wagner, DNP is a Nurse Practitioner in Louisville, Kentucky. Licensed in Kentucky and Montana. Registered with an NPI since 2019.

Licensed in
KY, MT
In the registry since
2019
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

4123 Dutchmans Ln
Louisville, KY 40207-4707
Phone: (502) 333-8855
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3013869 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 173292 (MT)
Neonatal Nurse Practitioner Taxonomy 363LN0000X · Licence 3013869 (KY)

Record details

NPI number1518509777
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedOctober 9, 2019
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021

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