National Provider Identifier Database

KEVIN R WANDLER, MD – NPI #1205956265
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

KEVIN R WANDLER, MD
11725 POINTE PL
ROSWELL, GA30076-4636
Phone: 470-990-9483
Fax: 877-800-5436
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X
Addiction Medicine 2083A0300X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for KEVIN R WANDLER

NPI Number 1205956265
Credentials MD
Entity Individual
Enumeration date 03/30/2007
Last updated 01/08/2025 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • AZ License #: 14421
  • CO License #: DR.0055465
  • FL License #: ME110716
  • GA License #: 92660
  • IN License #: 01092373A
  • MO License #: 2022048625
  • NJ License #: 25MA10809300
  • OH License #: 130525
  • WA License #: MD60562814
  • FL Medicaid: 004007100
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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