Wenner, Kevin Walter
Wenner, Kevin Walter is an individual health care provider with primary practice located at 430 Bath Rd Ste 102 , Brunswick ME 04011-2656. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wenner, Kevin Walter can be contacted via phone (207) 442-0350.Contact Information
Primary practice address
430 Bath Rd Ste 102
Brunswick ME 04011-2656
Phone: (207) 442-0350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA6455 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA6455 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA6455 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2143 | Maine |
Profile Details
| NPI number | 1831687300 |
|---|---|
| LBN Legal business name | Wenner, Kevin Walter |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2018 |
| Last updated | Nov 25th, 2020 - about 5 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.
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