KENNA W WILES


Address: 1009 N Monroe St, Albany, GA 31701-1903
Phone: 2298830298

KENNA W WILES (NPI# 1043204126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043204126
Entity Type Individual
Full Name KENNA W WILES
Credential P.A.
Practice Address 1009 N Monroe St
Albany
GA 31701-1903
Mailing Address 2402 Devon Dr
Albany
GA 31721-2126
Practice Telephone 2298830298
Practice Fax Number 2294387898
Mailing Telephone 2294200227
Enumeration Date 2005-09-06
Last Update Date 2009-04-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 003077 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1009 N MONROE ST
City ALBANY
State GA
Zip Code 31701-1903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871587170 Marsha G Pierdinock Internal Medicine 1009 N Monroe St, Albany, GA 31701-1903 2005-09-01
1699068114 Laura Hill Anderson Nurse Practitioner 1009 N Monroe St, Albany, GA 31701-1970 2011-05-17
1407065444 Albany Endoscopy Center, Inc. Clinic/Center 1009 N Monroe St, Suite 101, Albany, GA 31701-1970 2007-05-22
1346267010 Albany Gastroenterology, PC Internal Medicine 1009 N Monroe St, Albany, GA 31701-1970 2006-07-17
1104813575 Gandhiji Yalamanchili Internal Medicine 1009 N Monroe St, Albany, GA 31701-1903 2005-09-30
1003800103 Michael Walter Szpak Internal Medicine 1009 N Monroe St, Albany, GA 31701-1903 2005-09-02
1174517379 Ira G Knepp Internal Medicine 1009 N Monroe St, Albany, GA 31701-1970 2005-09-02
1750375051 Vithal Kusuma Internal Medicine 1009 N Monroe St, Albany, GA 31701-1903 2005-09-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124678347 Carehere LLC Family Medicine Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 2019-09-19
1801450788 Amy Brock Nurse Practitioner 417 4th Avenue, Albany, GA 31701 2019-04-26
1346740131 Kawana Kesia Mullins Contractor 1103 S Davis St, Albany, GA 31701 2018-02-19
1689198558 Marion Elizabeth Toscano Counselor 226 South Jefferson Street, Frederick, MD 31701 2017-08-01
1871014803 Mann Dental Care LLC Clinic/Center 1403 South Slappey Blvd, Albany, GA 31701 2017-06-29
1457716805 Amanda Banks Thomas Advanced Practice Midwife 803 13th Avenue, Albany, GA 31701 2015-12-29
1265805212 David Lee Berry Jr. Counselor 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 2015-11-12
1750725099 Charles Jacob Stoudenmire Pathology 507 W 3rd Ave Ste 7, Albany, GA 31701 2013-04-17
1700188232 Wendy Summer Willis Podiatrist 531 Seventh Avenue, Albany, GA 31701 2010-12-05
1760615413 Nicholas L Misulia Anesthesiology 417 Third Avenue, Albany, GA 31701 2009-08-28
Find all providers in zip 31701

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023619129 Anna Leigh Vonck Physician Assistant 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 2020-11-04
1407409113 Morgan Shumway Physician Assistant 50 New Scotland Ave # Mc191, Albany, NY 12208-3403 2019-07-22
1588136279 Christine Ciavarella Physician Assistant 405 Kains Ave Ste 205, Albany, CA 94706-1270 2018-12-19
1225503535 Maura Kathleen Corbett Physician Assistant 43 New Scotland Ave Mc-139, Department of Emergency Medicine, Albany, NY 12208-3478 2018-10-12
1669966743 Kimberly Aebli Physician Assistant 47 New Scotland Ave Mc 101, Albany, NY 12208 2018-06-21
1255844643 Erica Francesca Lari Parks Physician Assistant 530 Kinkead Way Apt 205, Albany, CA 94706-2656 2017-11-08
1306376934 Elisabeth Catherine Henderson Physician Assistant 98 Wolf Rd Ste 16, Albany, NY 12205-1226 2017-06-15
1417306374 Larry James Edwards Physician Assistant 2030 Newton Rd, Albany, GA 31701-3520 2016-06-10
1477923019 Cheyenne Allen Boone Physician Assistant 47 New Scotland Ave Mc-139, Albany Medical Center Dept Emergency Medicine, Albany, NY 12208-3412 2015-09-25
1396148300 Tina Huang Physician Assistant 15 Norman Ave, Albany, NY 12203-5005 2014-10-03
Find all providers in ALBANY

Competitor

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City ALBANY
Zip Code 31701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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