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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 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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