| Wensley M Keith Md, Pc | |
|
1601 Dove St Ste 170 Newport Beach CA 92660-1421 | |
| (949) 467-9081 | |
| (209) 203-1036 |
| Full Name | Wensley M Keith Md, Pc |
|---|---|
| Speciality | General Practice |
| Location | 1601 Dove St Ste 170, Newport Beach, California |
| Authorized Official Name and Position | Michael Keith Wensley (CEO) |
| Authorized Official Contact | 9494679081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wensley M Keith Md, Pc 1601 Dove St Ste 170 Newport Beach CA 92660-1421 Ph: (949) 705-8226 | Wensley M Keith Md, Pc 1601 Dove St Ste 170 Newport Beach CA 92660-1421 Ph: (949) 467-9081 |
| NPI Number | 1790530004 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790530004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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