Active NPI
Kyle Wender, ATP
- Other Specialist/Technologist
- Victoria, TX
National Provider Identifier
1598236341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- 74459
- Practice address
- 2517 N Laurent St
Victoria, TX 77901-4132 - Phone
- (361) 485-2000
- Fax
- (361) 485-2005
- NPI assigned
- Dec 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | 74459 | CA | Primary |
Addresses
Primary practice location
2517 N Laurent St
Victoria, TX 77901-4132
Mailing address
2517 N Laurent St
Victoria, TX 77901-4132
Phone (361) 485-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74459 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1598236341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 N LAURENT ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779014132",
"telephone_number": "361-485-2000",
"fax_number": "361-485-2005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 N LAURENT ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779014132",
"telephone_number": "361-485-2000",
"fax_number": "361-485-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDER",
"first_name": "KYLE",
"name_prefix": "Mr.",
"credential": "ATP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "CA",
"license": "74459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victoria, TX
- Susana Ortiz Weber, LPC
- Jacob Weishuhn
- Elizabeth Hughes Welder, LPC
- Wellcorp LLC (WellCorp)
- Wellmedicine PLLC
- West Wharton County Hospital District (Twin Pines Nursing and Rehabilitation)
- West Wharton County Hospital District (Avir at Victoria)
- Robert Reynold Westbrook, DDS
- Donna Lynn Westerman, MD
- Bruce Eldon Wheeler, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.