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

Kimberly D Wagner, PA-C

Individual provider Physician Assistant · NPI 1992821789

Kimberly D Wagner, PA-C is a Physician Assistant in Carthage, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3071 S Grand Ave
Carthage, MO 64836-7851
Phone: (417) 358-4811
Fax: (417) 358-4781
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2004003094 (MO)

Record details

NPI number1992821789
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESSeptember 4, 2009

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