Kenneth E Wiemar in Tulsa - Specialist

Kenneth E Wiemar - NPI 1194785303

Kenneth E Wiemar is a Specialist in Tulsa, Oklahoma. Kenneth E Wiemar practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kenneth E Wiemar is 1194785303. The last update date is 2008-04-24.

Kenneth E Wiemar's current location address is 1919 S Wheeling Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9187487570 and fax number 9187487573. The mailing address for Kenneth E Wiemar is 1919 S Wheeling Ave, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth E Wiemar
Address 1919 S Wheeling Ave, Tulsa, Oklahoma
Phone Number 9187487570
Fax Number 9187487573
Sole Proprietor N
Credentials M. D.

NPI Number Detail

NPI Number 1194785303
Provider Enumeration Date 2006-03-23
Last Updated Date 2008-04-24

Provider Mailing Address Detail

Address 1919 S Wheeling Ave
City Tulsa
State Oklahoma (OK)
Post Code 741045638
Phone Number 9187487570
Fax Number 9187487573

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 12545
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
731346102 OK FEDERAL TAX ID
100162400A OK --

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FAQs about Kenneth E Wiemar

What is the unique provider identifier assigned to Kenneth E Wiemar?

The Kenneth E Wiemar has been issued the NPI (National Provider Identifier) 1194785303 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kenneth E Wiemar's facilities are situated?

The facilities of Kenneth E Wiemar are physically located at the following address: 1919 S Wheeling Ave, Tulsa, OK, 741045638.

What is Kenneth E Wiemar's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth E Wiemar's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Kenneth E Wiemar receive its 1194785303 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth E Wiemar was assigned its 1194785303 by the Centers for Medicare & Medicaid Services on 2006-03-23.

As of what date was the information regarding Kenneth E Wiemar, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kenneth E Wiemar, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-24.

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