Kayelyn J. Wagner
Pediatric Hematology-Oncologist
1600 W 22nd St
Sioux Falls
, South Dakota 57105-1521
Kayelyn J. Wagner
Pediatric Hematology-Oncologist
1600 W 22nd St
Sioux Falls
, South Dakota 57105-1521
(605) 328-6512
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Kayelyn J. Wagner
- Po Box 5074
- Sioux Falls, SD
- Zip : 57117-5074
- Fax : (605) 328-6512
- Phone : (605) 328-6585
Second Address
- Kayelyn J. Wagner
- 1600 W 22nd St
- Sioux Falls, SD
- Zip : 57105-1521
- Fax : (605) 312-1001
- Phone : (605) 312-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 7508 | SD |
| N | 2080P0207X | Pediatric Hematology-Oncologist | R-7702 | IA |
National Provider Identifier
| NPI | 1043429087 |
|---|---|
| Provider Name | Kayelyn J. Wagner |
| First Address | Sioux Falls, SD 57117-5074 |
| Second Address | Sioux Falls, SD 57105-1521 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 19/10/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.