Wienkers, Kevin P

Wienkers, Kevin P is an individual health care provider with primary practice located at 2253 W Mason St , Green Bay WI 54303-4706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wienkers, Kevin P can be contacted via phone (920) 327-7000.

Contact Information

Primary practice address
2253 W Mason St Green Bay WI 54303-4706
Phone: (920) 327-7000
Fax: (920) 327-7005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 26518 Wisconsin

Profile Details

NPI number 1144241852
LBN Legal business name Wienkers, Kevin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Apr 9th, 2024 - about 2 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 1144241852 NPPES
Wisconsin MEDICAID 30634100

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