Kayleigh Wagner, LAT, ATC - Preventive Medicine in Erie, PA

Kayleigh Wagner, LAT, ATC is a Preventive Medicine - Sports Medicine physician based in Erie, Pennsylvania. Kayleigh Wagner is licensed to practice in Pennsylvania (license number RT006112) and her current practice location is 501 W 12th St, Erie, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (814) 455-3719.

NPI number for Kayleigh Wagner is 1316594674 and her current mailing address is 1443 Greenfield Dr, Erie, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316594674.

Contact Information

Kayleigh Wagner, LAT, ATC
501 W 12th St,
Erie, PA 16501-1536
(814) 455-3719
Not Available

Map and Direction




Physician's Profile

Full NameKayleigh Wagner
GenderFemale
SpecialityPreventive Medicine - Sports Medicine
Location501 W 12th St, Erie, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316594674
  • Provider Enumeration Date: 08/21/2019
  • Last Update Date: 08/21/2019

Medical Identifiers

Medical identifiers for Kayleigh Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316594674NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083S0010XPreventive Medicine - Sports Medicine RT006112 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kayleigh Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kayleigh Wagner, LAT, ATC
1443 Greenfield Dr,
Erie, PA 16509-2912

Ph: (814) 602-9206
Kayleigh Wagner, LAT, ATC
501 W 12th St,
Erie, PA 16501-1536

Ph: (814) 455-3719

Reviews and Comments


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