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

Kathleen Therese Wagner, MD

Individual provider Family Medicine Physician · NPI 1952342933

Kathleen Therese Wagner, MD is a Family Medicine Physician in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2006.

Licensed in
NV
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4920 W Lone Mountain Rd
Las Vegas, NV 89130
Phone: (702) 655-0550
Fax: (702) 655-0545
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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 number1952342933
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESAugust 20, 2018

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