DR. KYLE MARIE WAGGONER DPM NPI 1952573941

NPI Information

NPI: 1952573941
Provider Name: DR. KYLE MARIE WAGGONER, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
13330 USF LAUREL DR
TAMPA, FL
ZIP 33612
Phone: (813) 974-2201
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DR. Kyle Marie Waggoner, DPM is a foot and ankle surgery podiatrist in Tampa, FL. DR. Kyle Marie Waggoner, DPM NPI is 1952573941. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13330 USF LAUREL DR
TAMPA, FL
ZIP 33612-601
Phone: (813) 974-2201

The enumeration date for this NPI number is 3/31/2008 and was last updated on 5/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO3288	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6501B	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
2	024263600	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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