Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH JAAN WENZ, MD
ActiveKENNETH JAAN WENZ, MD is a Interventional Vascular Surgery healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1003924093 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1003924093
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2006 (19.963208411221 yrs)
- Last Updated
- Feb 10, 2023
- Licenses
-
17498 (SC)17498 (SC)
Practice Information
- Address
-
210 VILLAGE CENTER BLVD STE 150MYRTLE BEACH, SC, 295796707Browse SC providers · Browse ZIP 29579
- Phone
- 8433533460
- Fax
- 8439039032
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Pain Medicine (Anesthesiology)
Other Interventional Vascular Surgery Providers in MYRTLE BEACH, SC
| Name | Credential | NPI |
|---|---|---|
| SCOTT BRANNEN SAUER | DO | 1679681647 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.