Dr Kenneth Lemoyne Wiley Sr, MD is a
Internal Medicine physician based in Saint Rose, Louisiana. Dr Kenneth Lemoyne Wiley Sr is licensed to practice in Louisiana (license number MD09539R) and his current practice location is 105 Saint Rose Ave, Saint Rose, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(504) 466-6028.
NPI number for Dr Kenneth Lemoyne Wiley Sr is 1952515983 and his current mailing address is 36 Castle Pines Dr, New Orleans, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952515983.
Physician's Profile
Full Name | Dr Kenneth Lemoyne Wiley Sr |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 105 Saint Rose Ave, Saint Rose, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952515983
- Provider Enumeration Date: 05/09/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Kenneth Lemoyne Wiley Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952515983 | NPI | - | NPPES |
1965669 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD09539R (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Lemoyne Wiley Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kenneth Lemoyne Wiley Sr, MD 36 Castle Pines Dr, New Orleans, LA 70131-3326 Ph: (504) 306-9693 | Dr Kenneth Lemoyne Wiley Sr, MD 105 Saint Rose Ave, Saint Rose, LA 70087-3710 Ph: (504) 466-6028 |
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