Wiley, Kenneth

Wiley, Kenneth is an individual health care provider with primary practice located at 3308 Deen Rd , Fort Worth TX 76106-6524. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Wiley, Kenneth can be contacted via phone (817) 702-7102.

Contact Information

Primary practice address
3308 Deen Rd Fort Worth TX 76106-6524
Phone: (817) 702-7102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 57416 Texas

Profile Details

NPI number 1417325267
LBN Legal business name Wiley, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2015
Last updated Sep 10th, 2015 - about 9 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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