Wayne, Kenneth S
Wayne, Kenneth S is an individual health care provider with primary practice located at 1005 Pennsylvania Ave Suite 104, Ottumwa IA 52501-6413. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wayne, Kenneth S can be contacted via phone (641) 682-4594.Contact Information
Primary practice address
1005 Pennsylvania Ave Suite 104
Ottumwa IA 52501-6413
Phone: (641) 682-4594
Fax: (641) 682-2123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 32349 | Iowa |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 32349 | Iowa |
Profile Details
| NPI number | 1174500151 |
|---|---|
| LBN Legal business name | Wayne, Kenneth S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | May 17th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174500151 | NPPES |
| Iowa | MEDICAID | 2169417 | |
| Iowa | MEDICAID | 1174500151 | |
| Iowa | MEDICAID | 0169417 | |
| Iowa | Other | 110166527 | |
| Iowa | MEDICAID | 1169417 |
Popular Providers
-
Morrison, Bennett T
2901 Olney Sandy Spring Rd , Olney MD 20832-1521 -
Randell, Andrea Lee
2770 Capital Medical Blvd Ste 200 , Tallahassee FL 32308-8419 -
Ahmed, Jashim U
1005 Pennsylvania Ave Suite 104, Ottumwa IA 52501-6413 -
Conklin, Donald
1001 Pennsylvania Ave , Ottumwa IA 52501-6427 -
Wittman, William J
10 Bramblebush Park , Falmouth MA 02540-2325 -
Villanueva, Roberto Manuel
1240 Jesse Jewell Pkwy Se Suite 500, Gainesville GA 30501-3862 -
Reiter, Peter J
522 N Hancock St , Ottumwa IA 52501-4231 -
Go, Lani Joelle Tan
1001 Pennsylvania Ave , Ottumwa IA 52501-6427