Keneil Wiggan, in Flushing, NY - Licensed Vocational Nurse

Keneil Wiggan, is a Licensed Vocational Nurse based in Flushing, New York. Keneil Wiggan is licensed to practice in New York (license number 331714) and his current practice location is 6712 Yellowstone Blvd Apt C11, Flushing, New York. He can be reached at his office (for appointments etc.) via phone at (347) 592-3159.

NPI number for Keneil Wiggan is 1285102079 and his current mailing address is 6712 Yellowstone Blvd Apt C11, Flushing, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285102079.

Contact Information

	Keneil Wiggan,
	6712 Yellowstone Blvd Apt C11, Flushing, NY 11375-2330
	(347) 592-3159
	Not Available

Provider's Profile

Full Name	Keneil Wiggan
Gender	Male
Speciality	Licensed Vocational Nurse
Location	6712 Yellowstone Blvd Apt C11, Flushing, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1285102079
Provider Enumeration Date: 11/09/2018
Last Update Date: 11/09/2018

Medical Identifiers

Medical identifiers for Keneil Wiggan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285102079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164X00000X	Licensed Vocational Nurse	331714 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keneil Wiggan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keneil Wiggan, 6712 Yellowstone Blvd Apt C11, Flushing, NY 11375-2330 Ph: (347) 592-3159	Keneil Wiggan, 6712 Yellowstone Blvd Apt C11, Flushing, NY 11375-2330 Ph: (347) 592-3159

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Keneil Wiggan, - Licensed Vocational Nurse in Flushing, NY