General Information


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General Information
  • Name:Kristen Leigh Wagner, PA
  • Primary Specialty:
Address Information
  • Mailing Address: 10301 Kanis Road
  • Address 2:
  • City:Little Rock
  • State: AR
  • Zip:72205
  • Phone:(501) 604-6900
  • Fax:(501) 604-6941
License Information
  • License Number: PA-699
  • Original Issue Date: 02/03/2017
  • Expiration Date:03/31/2018
  • Basis: Exam
  • License Status: Active
  • License Category: Unlimited
  • License Number: PT2016-053
  • Original Issue Date: 12/02/2016
  • Expiration Date:02/03/2017
  • Basis: Exam
  • License Status: Inactive
  • License Category: Temporary
Board History
No Board Minutes on file for this licensee.
No Board Orders on file for this licensee.