Kelvin Kim Wagler, is a
Psychologist - Addiction (substance Use Disorder) based in Franch Camp, California. Kelvin Kim Wagler is licensed to practice in California (license number 20189) and his current practice location is
7178 S Recovery Rd, Franch Camp, California. He can be reached at his office (for appointments etc.) via phone at
(209) 468-6208.
NPI number for Kelvin Kim Wagler is 1588547103 and his current mailing address is 7178 S Recovery Rd, Franch Camp, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588547103.
Healthcare Provider's Profile
| Full Name | Kelvin Kim Wagler |
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| Gender | Male |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 7178 S Recovery Rd, Franch Camp, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588547103
- Provider Enumeration Date: 07/30/2025
- Last Update Date: 07/30/2025
Medical Identifiers
Medical identifiers for Kelvin Kim Wagler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588547103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 20189 (California) | 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. Kelvin Kim Wagler 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 Address | Practice Location Address |
|---|
Kelvin Kim Wagler,
7178 S Recovery Rd,
Franch Camp, CA 95231
Ph: (209) 468-6208 | Kelvin Kim Wagler,
7178 S Recovery Rd,
Franch Camp, CA 95231-9523
Ph: (209) 468-6208 |
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