Keneil Wiggan, is a
Licensed Vocational Nurse based in Flushing, New York. Keneil Wiggan is licensed to practice in New York (license number 331714) and his current practice location is
6712 Yellowstone Blvd Apt C11, Flushing, New York. He can be reached at his office (for appointments etc.) via phone at
(347) 592-3159.
NPI number for Keneil Wiggan is 1285102079 and his current mailing address is 6712 Yellowstone Blvd Apt C11, Flushing, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285102079.
Provider's Profile
| Full Name | Keneil Wiggan |
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| Gender | Male |
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| Speciality | Licensed Vocational Nurse |
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| Location | 6712 Yellowstone Blvd Apt C11, Flushing, 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: 1285102079
- Provider Enumeration Date: 11/09/2018
- Last Update Date: 11/09/2018
Medical Identifiers
Medical identifiers for Keneil Wiggan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285102079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 331714 (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. Keneil Wiggan 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 |
|---|
Keneil Wiggan,
6712 Yellowstone Blvd Apt C11,
Flushing, NY 11375-2330
Ph: (347) 592-3159 | Keneil Wiggan,
6712 Yellowstone Blvd Apt C11,
Flushing, NY 11375-2330
Ph: (347) 592-3159 |
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