Kenneth Wayne Ackley, LPN is a
Licensed Practical Nurse based in Plattsbugh, New York. Kenneth Wayne Ackley is licensed to practice in New York (license number 264405-1) and his current practice location is
16 Ampersand Drive, Plattsbugh, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 323-7071.
NPI number for Kenneth Wayne Ackley is 1255703310 and his current mailing address is 1 Chimney Point Drive, Ogdensbug, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255703310.
Provider's Profile
| Full Name | Kenneth Wayne Ackley |
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| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 16 Ampersand Drive, Plattsbugh, 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: 1255703310
- Provider Enumeration Date: 10/28/2015
- Last Update Date: 10/28/2015
Medical Identifiers
Medical identifiers for Kenneth Wayne Ackley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255703310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 264405-1 (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. Kenneth Wayne Ackley 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 |
|---|
Kenneth Wayne Ackley, LPN
1 Chimney Point Drive,
Ogdensbug, NY 13669-2291
Ph: (315) 323-7071 | Kenneth Wayne Ackley, LPN
16 Ampersand Drive,
Plattsbugh, NY 12901
Ph: (315) 323-7071 |
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