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

Keith William Wagoner, BSN, RN-BC

Individual provider Gerontology Registered Nurse · NPI 1407673593

Keith William Wagoner, BSN, RN-BC is a Gerontology Registered Nurse in Kemp, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024
What do these letters mean?
BSN — Bachelor of Science in Nursing
A four-year nursing degree.

See every abbreviation used in this directory →

Practice location Address checks out

110 N State Highway 274
Kemp, TX 75143-4617
Phone: (430) 255-2199
Show map & directions

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

Specialties & licences

Gerontology Registered Nurse (primary) Taxonomy 163WG0600X · Licence 919371 (TX)

Record details

NPI number1407673593
Entity typeIndividual (Type 1)
GenderMale
Credentials BSN , RN-BC
Sole proprietorNo
NPI enumeratedSeptember 20, 2024
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024