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

Dr. Kelly E Van Wagner, MD

Individual provider Internal Medicine Physician · NPI 1306035571

Dr. Kelly E Van Wagner, MD is an Internal Medicine Physician in N las Vegas, Nevada. Practices as a sole proprietor and works from 4 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6380 N Decatur Blvd Ste 215
N las Vegas, NV 89084
Phone: (702) 948-1145
Fax: (702) 949-6206
Show map & directions

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

Additional practice locations (3)

  • 1380 European Dr, Henderson, NV 89052-4020 — (702) 419-3535
  • 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133 — (702) 216-3346
  • 5230 Boulder Hwy Ste 110, Las Vegas, NV 89122-6077 — (702) 940-1560

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 9533 (NV)

Record details

NPI number1306035571
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 23, 2007
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 6, 2023
Mailing address6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133

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