Wise, Kendall L
Wise, Kendall L is an individual health care provider with primary practice located at 1044 Goodlette Rd N. , Naples FL 34102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wise, Kendall L can be contacted via phone (239) 261-5400.Contact Information
Primary practice address
1044 Goodlette Rd N.
Naples FL 34102
Phone: (239) 261-5400
Fax: (239) 261-4387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME53290 | Florida |
Profile Details
| NPI number | 1831252014 |
|---|---|
| LBN Legal business name | Wise, Kendall L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Apr 20th, 2016 - about 8 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 | 1831252014 | NPPES |
| Florida | Other | 5340047 | AETNA PROVIDER ID |
| Florida | Other | 05823 | AETNA PROVIDER ID |
| Florida | MEDICAID | 038093800 | AETNA PROVIDER ID |
| Florida | Other | 1193523 | AETNA PROVIDER ID |
| Florida | Other | P00796370 | AETNA PROVIDER ID |
| Florida | Other | 05823 | AETNA PROVIDER ID |
| Florida | Other | 340007341 | AETNA PROVIDER ID |
| Florida | Other | 315207 | AETNA PROVIDER ID |
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