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

Mrs. Kimberly Ann Wagner

Individual provider Licensed Practical Nurse · NPI 1114237575

Mrs. Kimberly Ann Wagner is a Licensed Practical Nurse in Lebanon, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
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Practice location Address checks out

1 Perryman St
Lebanon, IL 62254-1356
Phone: (618) 537-6165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 043.085404 (IL)

Record details

NPI number1114237575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2010
Last updated in NPPESOctober 19, 2010

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