Wheeler, Kenneth
Wheeler, Kenneth is an individual health care provider with primary practice located at 1001 12Th Ave Ste 201 , Fort Worth TX 76104-3946. He recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Electrophysiology, Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Wheeler, Kenneth can be contacted via phone (817) 719-7714.Contact Information
Primary practice address
1001 12Th Ave Ste 201
Fort Worth TX 76104-3946
Phone: (817) 719-7714
Fax: (817) 796-1114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Electrophysiology, Clinical | 2251E1300X | 1226699 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology | 2251N0400X | 1226699 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 1226699 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1226699 | Texas |
Profile Details
| NPI number | 1427492941 |
|---|---|
| LBN Legal business name | Wheeler, Kenneth |
| Credentials | DPT, OCS, NCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2013 |
| Last updated | Feb 7th, 2024 - about last year |
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 | 1427492941 | NPPES |
| Texas | MEDICAID | 394270801 |
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