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

Kai Jonathan Wagner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063165587

Kai Jonathan Wagner is a Student in an Organized Health Care Education/Training Program in Spokane Valley, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

317 N Pines Rd
Spokane Valley, WA 99206-5120
Phone: (509) 838-4651
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG61270605 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (WA)

Record details

NPI number1063165587
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 3, 2022
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022
Mailing address107 S Division St, Spokane, WA 99202-1510

Other providers in Spokane Valley