Kenneth Wiseman, DO

NPI 1427083849 · on the registry since 2006

Practice

Address: 1216 E Hunting Park Ave
Philadelphia, PA 19124
Phone: (215) 533-1333
Fax: (215) 744-4324
Organisation at this address: Eusebio R. Nunez Md Pc
Complete Physician Services
Divine Gifted Hands Home Care Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania