Kevin Wyman, LMT is a
Massage Therapist based in Minetto, New York. Kevin Wyman is licensed to practice in New York (license number 032681) and his current practice location is
2781 State Route 48 Unit 2, Minetto, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 727-6501.
NPI number for Kevin Wyman is 1518676287 and his current mailing address is 3733 County Route 4, Oswego, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518676287.
Healthcare Provider's Profile
| Full Name | Kevin Wyman |
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| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 2781 State Route 48 Unit 2, Minetto, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518676287
- Provider Enumeration Date: 11/21/2022
- Last Update Date: 11/21/2022
Medical Identifiers
Medical identifiers for Kevin Wyman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518676287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 032681 (New York) | 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. Kevin Wyman 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 |
|---|
Kevin Wyman, LMT
3733 County Route 4,
Oswego, NY 13126-5845
Ph: () - | Kevin Wyman, LMT
2781 State Route 48 Unit 2,
Minetto, NY 13115-7720
Ph: (315) 727-6501 |
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