Nolan Kennedy Wagner

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

8363 Keenan St
Kalamazoo, MI 49009-5974

Phone

(269) 254-3330

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1841102985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8363 KEENAN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8363 KEENAN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095974",
            "telephone_number": "269-254-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "NOLAN",
        "middle_name": "KENNEDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela J Wadsworth, NP
• Beth A Wagenvelt, NP
• David J Wagner, ED.D.
• Elizabeth Bailey Wagner, MS OTRL
• Kimberly Ann Wagner, RN
• Mark A Wahl, MD
• Mackenzie J Waite, SLP
• Wakerobin & Vine Therapy Collective, PLLC
• Aamrah Wakil, MD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5065)

• Physician Assistant in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.