Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH LEMOYNE WILEY SR., M.D.
Active Sole ProprietorDR. KENNETH LEMOYNE WILEY SR., M.D. is a Internal Medicine healthcare provider located in SAINT ROSE, Louisiana. NPI 1952515983 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · SAINT ROSE, LA
Registration Details
- NPI Number
- 1952515983
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2007 (19.259817140159 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD09539R (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 SAINT ROSE AVESAINT ROSE, LA, 700873710Browse LA providers · Browse ZIP 70087
- Phone
- 5044666028
- Fax
- 5044666209
- Primary Specialty
-
Internal Medicine
207R00000X
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.