National Provider Identifier Database

KENDALL L WISE, MD – NPI #1831252014
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

KENDALL L WISE, MD
1044 GOODLETTE RD N.
NAPLES, FL34102
Phone: 239-261-5400
Fax: 239-261-4387
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for KENDALL L WISE

NPI Number 1831252014
Credentials MD
Entity Individual
Enumeration date 12/18/2006
Last updated 04/20/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME53290
  • FL Medicaid: 038093800
  • FL Other: 5340047 AETNA PROVIDER ID
  • FL Other: 315207 AVMED
  • FL Other: 05823 BCBS
  • FL Other: 05823 BCBS FL
  • FL Other: P00796370 RAILROAD MEDICARE
  • FL Other: 340007341 RRMC
  • FL Other: 1193523 WELLCARE
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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