Kay Irene Wagner, DVM

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

3729 Issued in MD

Practice address

1929 Albert Rill Rd
Hampstead, MD 21074-1022

Phone

(410) 239-3713

Fax

(410) 374-0657

NPI assigned

Oct 30, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1740053032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 ALBERT RILL RD",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210741022",
            "telephone_number": "410-239-3713",
            "fax_number": "410-374-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 ALBERT RILL RD",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210741022",
            "telephone_number": "410-239-3713",
            "fax_number": "410-374-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KAY",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "3729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Twigg, PMHNP-BC
• Peter G Uggowitzer, MD
• Gloria Marie Vance
• Johanna Sofia Vonhagn, PA-C
• Alynne Beri Wagner
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2850)
• Wal-Mart Stores East LP (Vision Center 30-2850)
• Caitlyn Weinstein
• Weis Markets Inc (Weis Pharmacy)
• Lawrence R Whitney Jr., D.D.S.

• General Practice Physician in Hampstead, MD
• Providers in Hampstead, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.