Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH WISEMAN, DO
ActiveDR. KENNETH WISEMAN, DO is a Family Medicine healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1427083849 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1427083849
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2006 (20.081274345146 yrs)
- Last Updated
- Mar 6, 2019
- License
-
OS-004457-L (PA)
Practice Information
- Address
-
1216 E HUNTING PARK AVEPHILADELPHIA, PA, 19124Browse PA providers · Browse ZIP 19124
- Phone
- 2155331333
- Fax
- 2157444324
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. VINCENT J THOMPSON III | M.D. | 1174526180 |
| DR. LAURA ANNE MURRAY | D.O. | 1306849666 |
| DR. JOSEPH P DIRENZO JR. | DO | 1811991292 |
| DR. CARL NELSON LIEDMAN | D.O. | 1164427910 |
| ADELAIDA MERKER | D.O. | 1104821727 |
| DR. KENNETH L JACOBSON | MD | 1811993363 |
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.