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Kendall D. Wagner, M.D., Pllc

Primary Care Clinic/Center in Fort Smith, AR · enumerated 2021 · authorized official Kendall Wagner, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528721271

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Registry record

Entity type Organization (Type 2)
Legal business name Kendall D. Wagner, M.D., Pllc
Practice address 11300 Roberts Blvd, Fort Smith, AR, 72916
Enumeration date Oct 20, 2021
Last updated in NPPES Oct 20, 2021

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kendall Wagner
Title Physician

Other identifiers

Identifier Type State Issuer
202855001 Medicaid AR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Kendall D. Wagner, M.D., Pllc?
Kendall D. Wagner, M.D., Pllc is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-20.