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

Kathryn E Wagner, MSCCPSLP

Individual provider Speech-Language Pathologist · NPI 1972177483

Kathryn E Wagner, MSCCPSLP is a Speech-Language Pathologist in Jenks, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2021.

Licensed in
OK
In the registry since
2021

Practice location Address checks out

11711 S Vine St
Jenks, OK 74037-4343
Phone: (918) 289-1667
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 3019 (OK)

Record details

NPI number1972177483
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCPSLP
Sole proprietorNo
NPI enumeratedMay 19, 2021
Last updated in NPPESMay 19, 2021
Certification dateMay 18, 2021
Mailing address11711 S Vine St, Jenks, OK 74037-4343

Other providers in Jenks