Kevin Lee Wieland (NPI# 1497737902, PAC ID# 9133190788) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1497737902 |
| PAC ID by PECOS | 9133190788 |
| Professional Enrollment ID | I20060103000490 |
| Full Name | Kevin Lee Wieland |
| Address |
1415 Magnavox Way Fort Wayne IN 46804-1565 |
| Gender | M |
| Credential | CP |
| Graduation Year | 1998 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1415 Magnavox Way, Fort Wayne, IN 46804-1565 |
| Street Address |
1415 MAGNAVOX WAY |
| City | FORT WAYNE |
| State | IN |
| Zip | 46804-1565 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda L Hartley | Clinical Social Worker | Summit Counseling LLC | 1415 Magnavox Way, Suite 150, Fort Wayne, IN 46804-1548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Griffith | Speech Language Pathologist | 6205 Constitution Dr, Fort Wayne, IN 46804-1517 | |
| Michael Scherbinski | Clinical Psychologist | Prometheus Psychological Services | 6229 Constitution Dr, Fort Wayne, IN 46804-1517 |
| Jessie Whiteman | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Monique L M Levesque-hartle | Chiropractic | Allen County Chiropractic LLC | 6320 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Amy Harmeyer | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Casey Peterson | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Ashley Brown | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Nicholas Hammond | Physician Assistant | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Barbara L Starry | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Rochelle L Johnson | Nurse Practitioner | Rounding Providers | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Find all physicians in zip 46804 | |||
| City | FORT WAYNE |
| Zip Code | 46804 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | FORT WAYNE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Kevin Lee Wieland.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.