Kenneth Glen Wys in Indio - Critical Care Medicine
Kenneth Glen Wys - NPI 1003929712
Kenneth Glen Wys is a Critical Care Medicine in Indio, California. Kenneth Glen Wys practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Kenneth Glen Wys is 1003929712. The last update date is 2020-01-28.
Kenneth Glen Wys's current location address is 47111 Monroe St, Indio, California. You can contact this provider via phone number 7603476191 and fax number 7607758017. The mailing address for Kenneth Glen Wys is 47111 Monroe St, Indio, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Glen Wys |
|---|---|
| Address | 47111 Monroe St, Indio, California |
| Phone Number | 7603476191 |
| Fax Number | 7607758017 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1003929712 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2020-01-28 |
Provider Mailing Address Detail
| Address | 47111 Monroe St |
|---|---|
| City | Indio |
| State | California (CA) |
| Post Code | 922016739 |
| Phone Number | 7603476191 |
| Fax Number | 7607758017 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | A64344 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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What is the unique 10-digit identifier code assigned to Kenneth Glen Wys by the Centers for Medicare & Medicaid Services?
The Kenneth Glen Wys has been issued the NPI (National Provider Identifier) 1003929712 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kenneth Glen Wys is located?
The Kenneth Glen Wys is situated at the following address: 47111 Monroe St, Indio, CA, 922016739.
What is the Kenneth Glen Wys's specialty and taxonomy code?
The Kenneth Glen Wys's specialty is Critical Care Medicine, and the corresponding taxonomy code is 207Rc0200X.
On what date did the Kenneth Glen Wys receive the assignment of its 1003929712 from the Centers for Medicare & Medicaid Services?
The Kenneth Glen Wys was issued its 1003929712 by the Centers for Medicare & Medicaid Services on 2006-08-16.
As of what date was the information regarding Kenneth Glen Wys, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth Glen Wys, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-01-28.