Wheeler, Kevin L.

Wheeler, Kevin L. is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wheeler, Kevin L. can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 888-5858
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000760-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA052165 Pennsylvania

Profile Details

NPI number 1790751675
LBN Legal business name Wheeler, Kevin L.
Credentials RPAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Mar 1st, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790751675 NPPES
Pennsylvania Other CC9269 RR MEDICARE GROUP
Pennsylvania MEDICAID 02079486 RR MEDICARE GROUP
Pennsylvania Other P00260892 RR MEDICARE GROUP
Pennsylvania Other GU039978 RR MEDICARE GROUP

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