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Contact Information

KENDALL L WISE, MD
1044 GOODLETTE RD N.
NAPLES, FL34102
 Phone: 239-261-5400
 Fax: 239-261-4387
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for KENDALL L WISE · (Male)

NPI # 1831252014
Status Active
Credentials MD
Entity Individual
Enumeration date 12/18/2006
Last updated 04/20/2016 - About 10 years ago
Sole proprietor 1 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(s)
  • NAPLES COMMUNITY HOSPITAL - (Acute Care)
    350 7TH ST N
    NAPLES, FL 34102
  • PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE - (Acute Care)
    6101 PINE RIDGE ROAD
    NAPLES, FL 34119
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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