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Keith Wagoner, BSN, RN-BC
NPI 1407673593 · Gerontology Registered Nurse · Kemp, TX
Keith Wagoner, BSN, RN-BC is a Gerontology Registered Nurse provider in Kemp, TX (NPI 1407673593).
Provider details
- NPI number
- 1407673593
- Entity type
- Individual
- Primary specialty
- Gerontology Registered NurseNursing Service Providers
- Credential
- BSN, RN-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 919371 (TX)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 N State Highway 274
Kemp, TX 75143-4617
Phone: (430) 255-2199
Street-level locationGet directions
Mailing address
105 Arapaho Trl
Mabank, TX 75156-9176
Registry dates
- Enumerated
- 2024-09-20
- Last updated
- 2024-09-20
- Certified
- 2024-09-20
Frequently asked questions
- What is Keith Wagoner's NPI number?
- Keith Wagoner's National Provider Identifier (NPI) is 1407673593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Wagoner's specialty?
- Keith Wagoner is listed in the NPPES registry with a primary specialty of Gerontology Registered Nurse (Nursing Service Providers).
- Where is Keith Wagoner located?
- Keith Wagoner's practice location on file with NPPES is 110 N State Highway 274, Kemp, TX 75143-4617.
- What is Keith Wagoner's phone number?
- The practice phone number listed in the NPPES registry for Keith Wagoner is (430) 255-2199.
- Is Keith Wagoner's NPI active?
- Yes — Keith Wagoner's NPI (1407673593) is active in the NPPES registry as of the last update on 2024-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.