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

Gabrielle Kyra Wagner

Individual provider Medical Physician Assistant · NPI 1366385940

Gabrielle Kyra Wagner is a Medical Physician Assistant in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2026.

Licensed in
WV
In the registry since
2026

Practice location Address checks out

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone: (304) 388-5432
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (WV)

Record details

NPI number1366385940
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

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