Kenneth L. Wiley, LLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

09539R Issued in LA

Legal business name

KENNETH L. WILEY, LLC

Practice address

3308 Tulane Ave Ste 200
New Orleans, LA 70119-7100

Phone

(504) 309-9140

Fax

(504) 309-9317

NPI assigned

Jul 17, 2012

Last updated

Jul 17, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth Wiley, M.D.NPI 1952515983

Title

Owner

Phone

(504) 309-9140

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Lemoyne Wiley Sr., M.D.

  • Internal Medicine Physician
  • Saint Rose, LA
  • NPI 1952515983
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1184979189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 TULANE AVE STE 200",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197100",
            "telephone_number": "504-309-9140",
            "fax_number": "504-309-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 TULANE AVE STE 200",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197100",
            "telephone_number": "504-309-9140",
            "fax_number": "504-309-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH L. WILEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-309-9140",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "LA",
            "license": "09539R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1965669",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Brent Kennedy, DC
• London Alexis Kennedy, PLPC
• Ross Michael Kennedy, MPH, MSNW, RD, LDN
• Tamika Kennedy
• Victoria Kennedy, PT
• Jessica Kennington
• Kennise Reed (Jubilee Respite Services)
• Kennise Reed (Jubilee Respite Services)
• Kennise Reed (Jubilee Respite Services Inc)
• Robert Travis Kenny, M.D.

• Legal Medicine in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Legal Medicine in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.