Kayleen H Wagner (NPI# 1639622376, PAC ID# 4385922343) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1639622376 |
| PAC ID by PECOS | 4385922343 |
| Professional Enrollment ID | I20190612001160 |
| Full Name | Kayleen H Wagner |
| Organization Legal Name | DVORAK CATARACT AND EYE LASER CLINIC PA |
| Address |
20 9th St Se Long Prairie MN 56347-1404 |
| Phone Number | 3207743666 |
| Gender | F |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8527349679 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 20 9th St Se, Long Prairie, MN 56347-1404 | 3207743666 | DVORAK CATARACT AND EYE LASER CLINIC PA |
| 1311 2nd St N, Suite 105, Sauk Rapids, MN 56379-2582 | 3207743666 | DVORAK CATARACT AND EYE LASER CLINIC PA |
| Organization Legal Name | DVORAK CATARACT AND EYE LASER CLINIC PA |
| Physicians | 1 |
| Street Address |
20 9TH ST SE |
| City | LONG PRAIRIE |
| State | MN |
| Zip | 56347-1404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janelle M Terhaar | Nurse Practitioner | Centracare Clinic | 20 9th St Se, Long Prairie, MN 56347-1404 |
| Tricia J Shoutz | Nurse Practitioner | Centracare Clinic | 20 9th St Se, Long Prairie, MN 56347-1404 |
| Robert S Telste | Family Practice | Centracare Clinic | 20 9th St Se, Long Prairie, MN 56347-1404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nyla J Kraemer | Clinical Social Worker | 15 1st Ave S, Long Prairie, MN 56347-1314 | |
| William J Hartman | Optometry | Minnesota Eyecare Network, Inc. | 249 Central Ave, Long Prairie, MN 56347-1337 |
| David D Hetland | Chiropractic | Comfort Chiropractic Pllc | 124 Lake S St, Suite 2, Long Prairie, MN 56347-1682 |
| Patrick L Goebel | Chiropractic | Comfort Chiropractic Pllc | 124 Lake S St, Long Prairie, MN 56347-1682 |
| Lucas Dean Krug | Chiropractic | Comfort Chiropractic Pllc | 124 Lake S St, Suite 2, Long Prairie, MN 56347-1682 |
| Jennifer Marie Love | Nurse Practitioner | Centracare Health System - Long Prairie | 50 Centracare Dr, Long Prairie, MN 56347-2100 |
| Mark A Christiansen | Physician Assistant | Centracare Health System - Long Prairie | 50 Centracare Dr, Long Prairie, MN 56347-2100 |
| Julie L Mcdonald | Physician Assistant | Centracare Health System - Long Prairie | 50 Centracare Dr, Long Prairie, MN 56347-2100 |
| Yun Chau B Lee | Emergency Medicine | Centracare Health System - Long Prairie | 50 Centracare Dr, Long Prairie, MN 56347-2100 |
| Jonathan D Zellmer | General Surgery | Centracare Health System - Long Prairie | 50 Centracare Dr, Long Prairie, MN 56347-2100 |
| Find all physicians in zip 56347 | |||
| City | LONG PRAIRIE |
| Zip Code | 56347 |
| Specialty | OPTOMETRY |
| City + Specialty | LONG PRAIRIE + OPTOMETRY |
Please comment or provide details below to improve the information on Kayleen H Wagner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.