KYLE EUGENE WEWERS


Address: 4280 E State Highway 197, Scranton, AR 72863-9043
Phone: 4794382198

KYLE EUGENE WEWERS (NPI# 1972094175) 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) 1972094175
Entity Type Individual
Full Name KYLE EUGENE WEWERS
Practice Address 4280 E State Highway 197
Scranton
AR 72863-9043
Practice Telephone 4794382198
Enumeration Date 2018-05-23
Last Update Date 2018-05-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
A005621 AR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR ARKANSAS STATE BOARD OF NURSING A005621 01

Office Location

Street Address 4280 E STATE HIGHWAY 197
City SCRANTON
State AR
Zip Code 72863-9043

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982258158 Amanda Vaughan Speech-Language Pathologist 1292 Reddar Lane 351, Scranton, AR 72863 2019-07-26
1609989458 Trisha Lynn Mainer Speech-Language Pathologist 376 Willow Drive, Scranton, AR 72863-0343 2006-08-16
1811448749 Emily Nehus Occupational Therapist 5532 E State Highway 197, Scranton, AR 72863-9032 2016-10-14
1982919502 Scranton Public School Local Education Agency (LEA) 103 N 10th St, Scranton, AR 72863-9386 2010-08-09

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1841833738 Amanda Rose Turoni Nurse Practitioner 501 N. Washington Ave, Suite 1000, Scranton, PA 18505-3814 2019-10-23
1952957219 Chelsea Hafner Nurse Practitioner 1401 Fellows St, Scranton, PA 18504-2222 2019-08-13
1073073532 Whitley Weatherford Nurse Practitioner 288 Anderson Bridge Rd, Scranton, SC 29591-5002 2019-03-21
1093229189 Angela Murphy Nurse Practitioner 5 Morgan Hwy Ste 8, Scranton, PA 18508-2641 2017-11-28
1952736472 Keith Thomas Lashinski Nurse Practitioner 746 Jefferson Ave Ste 305, Scranton, PA 18510-1639 2013-09-04
1215235114 Verna Mae Saleski Nurse Practitioner 1315 Colfax Ave, Maternal Family Health Services Circle of Care, Scranton, PA 18518 2011-03-02
1134245046 Andrea Mantione Nurse Practitioner 800 Linden St, Scranton, PA 18510-4694 2007-03-22
1750377602 Jo Ann Louise Nicoteri Nurse Practitioner 1130 Mulberry St, University of Scranton Student Health Services, Scranton, PA 18510-2125 2005-09-26
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Competitor

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City SCRANTON
Zip Code 72863

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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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