Wiley, Kenneth

Wiley, Kenneth is an individual health care provider with primary practice located at 2500 Harbor Blvd , Port Charlotte FL 33952-5000. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Wiley, Kenneth can be contacted via phone (941) 766-4122.

Contact Information

Primary practice address
2500 Harbor Blvd Port Charlotte FL 33952-5000
Phone: (941) 766-4122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9355754 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN11000983 Florida

Profile Details

NPI number 1235613662
LBN Legal business name Wiley, Kenneth
Credentials DNP, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2018
Last updated Apr 20th, 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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