Kevin Richard Wandler in Ridgefield - Addiction Medicine
Kevin Richard Wandler - NPI 1205956265
Kevin Richard Wandler is a Addiction Medicine in Ridgefield, Washington. Kevin Richard Wandler practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Kevin Richard Wandler is 1205956265. The last update date is 2023-09-18.
Kevin Richard Wandler's current location address is 888 S Hillhurst Rd, Ridgefield, Washington. You can contact this provider via phone number 7543003120 and fax number 9543068977. The mailing address for Kevin Richard Wandler is 888 S Hillhurst Rd, Ridgefield, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Richard Wandler |
|---|---|
| Address | 888 S Hillhurst Rd, Ridgefield, Washington |
| Phone Number | 7543003120 |
| Fax Number | 9543068977 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205956265 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2023-09-18 |
Provider Mailing Address Detail
| Address | 888 S Hillhurst Rd |
|---|---|
| City | Ridgefield |
| State | Washington (WA) |
| Post Code | 986429063 |
| Phone Number | 7543003120 |
| Fax Number | 9543068977 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 2022048625 |
|
Definition: 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4007100 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kevin Richard Wandler by the Centers for Medicare & Medicaid Services?
The Kevin Richard Wandler has been assigned the NPI (National Provider Identifier) 1205956265 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kevin Richard Wandler is physically located?
The Kevin Richard Wandler is situated at the following address: 888 S Hillhurst Rd, Ridgefield, WA 986429063.
What is Kevin Richard Wandler's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevin Richard Wandler is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 2084A0401X.
On what date did the Kevin Richard Wandler receive its 1205956265 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Richard Wandler was assigned its 1205956265 by the Centers for Medicare & Medicaid Services on 2007-03-30.
As of what date were the details related to Kevin Richard Wandler most recently updated or revised?
The information pertaining to Kevin Richard Wandler, including its address, specialty, and other relevant details, was last updated or revised on 2023-09-18.
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