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

Mrs. Kelly Wagenheim

Individual provider Pharmacist · NPI 1831540665

Mrs. Kelly Wagenheim is a Pharmacist in Big Rapids, Michigan. Practices as a sole proprietor. Licensed in Florida and Michigan.

Licensed in
FL, MI
In the registry since
2016
Specialties on file
2

Practice location Address checks out

21400 Perry Ave
Big Rapids, MI 49307-9262
Phone: (231) 796-3691
Fax: (231) 796-8722
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302411047 (MI)
Pharmacist Taxonomy 183500000X · Licence PS 34800 (FL)

Record details

NPI number1831540665
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 22, 2016
Last updated in NPPESJune 22, 2016

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