Kendall Shannon Wagner, M.D. is a specialist in Fullerton, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Kendall Shannon Wagner, M.D. NPI is 1306888995. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
101 LAGUNA RD STE A
FULLERTON, CA
ZIP 92835-635
Phone: (714) 879-0050
Fax: (714) 879-0249
The enumeration date for this NPI number is 6/11/2006 and was last updated on 8/5/2010.