MR. MICHAEL KEVIN WYNNE (NPI# 1720183270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720183270 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL KEVIN WYNNE |
| Credential | DC |
| Practice Address |
3420a Wrightsville Ave Wilmington NC 28403-4118 |
| Practice Telephone | 9107992225 |
| Practice Fax Number | 9107996612 |
| Mailing Telephone | 9107992225 |
| Mailing Fax Number | 9107996612 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1601 | NC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8908946 | 05 | |
| BCBS NC | 08946 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821516303 | Michael Wynne | Counselor | 9 Blodget St, Manchester, NH 03104 | 2017-09-05 |
| Street Address |
3420A WRIGHTSVILLE AVE |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013525872 | Robert Hennen | Counselor | 3420a Wrightsville Ave, Wilmington, NC 28403-4118 | 2020-07-17 |
| 1538663166 | Pavillon By The Sea | Clinic/Center | 3420a Wrightsville Ave, Wilmington, NC 28403-4118 | 2018-03-20 |
| 1487162111 | Cori Lynn Raddigan | Counselor | 3420a Wrightsville Ave, Wilmington, NC 28403-4118 | 2018-01-16 |
| 1306351325 | Pavillon By The Sea | Clinic/Center | 3420a Wrightsville Ave, Wilmington, NC 28403-4118 | 2017-12-13 |
| 1619409539 | Christy Hilling | Counselor | 3420a Wrightsville Ave, Wilmington, NC 28403-4118 | 2017-03-30 |
| 1972673291 | Wynne Chiropractic Ctr Pa | Chiropractor | 3420a Wrightsville Ave, Wilmington, NC 28403-4118 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028504 | Kyle Ukrainyc Dc LLC | Chiropractor | 1600 N Washington St Fl 2, Wilmington, DE 19802-4722 | 2020-09-21 |
| 1891306676 | John A. Pirritano, Portofino Chiropractic | Chiropractor | 601 N Avalon Blvd Ste A, Wilmington, CA 90744-5871 | 2020-08-13 |
| 1386252922 | Thomas Chiropractic, Inc. | Chiropractor | 200 Jefferson Rd Ste 106, Wilmington, MA 01887-1999 | 2020-07-20 |
| 1013540830 | Yekaterina Grinchak | Chiropractor | 3411 Silverside Rd Ste 102, Wilmington, DE 19810-4812 | 2020-02-20 |
| 1972140978 | Caitlyn Helene Demetrious | Chiropractor | 7491 Market St # A, Wilmington, NC 28411-9454 | 2019-12-09 |
| 1396382776 | Alexis Demetrious | Chiropractor | 7649 Market St, Wilmington, NC 28411-9454 | 2019-12-05 |
| 1922645209 | Grant Gowing | Chiropractor | 7491 Market St Ste A, Wilmington, NC 28411-9454 | 2019-12-05 |
| 1366089690 | Delaware Spine | Chiropractor | 1117 N Franklin St Ste A, Wilmington, DE 19806-4331 | 2019-12-05 |
| 1710538319 | First State Spinal Rehabilitation LLC | Chiropractor | 2500 W 4th St Ste 4, Wilmington, DE 19805-3352 | 2019-09-25 |
| 1679036826 | Taylor Cox | Chiropractor | 1319 Military Cutoff Rd Ste Ll, Wilmington, NC 28405-3640 | 2019-04-12 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on MR. MICHAEL KEVIN WYNNE.
| 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.