Blair Kelly Wagner
DNP | Nurse Practitioner
4123 Dutchmans Ln, Louisville
Kentucky, 40207-4707
502-333-8855
Blair Kelly Wagner is a Louisville, Kentucky based nurse practitioner. Active license number of Blair Kelly Wagner is 3013869 in Kentucky. Her current practice location is 4123 Dutchmans Ln, Louisville. Patients can reach her at 502-333-8855. Blair Kelly Wagner is DNP and her NPI number (Unique professional ID assigned by NPPES) is 1518509777.
Blair Kelly Wagner has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Blair Kelly Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Blair Kelly Wagner |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | DNP |
| Practice Address: | 4123 Dutchmans Ln, Louisville,
Kentucky, 40207-4707 |
| Phone: | 502-333-8855 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1518509777 |
| NPI Enumeration Date: | 09 Oct, 2019 |
| NPI Last Update On: | 18 Feb, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blair Kelly Wagner are as mentioned below.
| License Number | Specialization | State | Status | |
| 3013869 | | Kentucky | Primary | |
| 173292 | Nurse Practitioner | Montana | Secondary | |
| 3013869 | Neonatal | Kentucky | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Blair Kelly Wagner
Po Box 776351,
Chicago, Illinois |
| Zip: | 60677-6351 |
| Phone Number: | 502-272-5063 |
| Fax Number: | 502-896-2527 |
Patients can reach Blair Kelly Wagner at
4123 Dutchmans Ln, Louisville, Kentucky or can
call to book an appointment on 502-333-8855.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.