Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN RICHARD WANDLER, MD
Active Sole ProprietorKEVIN RICHARD WANDLER, MD is a Addiction Psychiatry healthcare provider located in ROSWELL, Georgia. NPI 1205956265 is currently active in the NPPES registry. Verify at CMS.
Addiction Psychiatry · ROSWELL, GA
Registration Details
- NPI Number
- 1205956265
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2007 (19.398475225646 yrs)
- Last Updated
- Jan 8, 2025
- Licenses
-
25MA10809300 (NJ)DR.0055465 (CO)130525 (OH)2022048625 (MO)MD60562814 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11725 POINTE PLROSWELL, GA, 300764636Browse GA providers · Browse ZIP 30076
- Phone
- 4709909483
- Fax
- 8778005436
- Primary Specialty
-
Addiction Psychiatry
2084A0401X
- Additional Specialty
- Addiction Psychiatry
- Additional Specialty
- Addiction Psychiatry
- Additional Specialty
- Addiction Psychiatry
- Additional Specialty
- Addiction Psychiatry
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.