Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 34-004278 | OH |
Y | 207Q00000X | Family Doctor | 34.004278 | OH |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 34-004278 | OH |
NPI | 1023078532 |
---|---|
Provider Name | Dr. Kenneth Allen Writesel |
First Address | Naples, FL 34102-5803 |
Second Address | Naples, FL 34102-5803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 11/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000224730 | ANTHEM (01) | OH |
0667443 | (05) | OH |
202602 | FEDERAL BLACK LUNG (01) | OH |
7300022 | UNITED HEALTHCARE (01) | OH |
E00748 | (02) | OH |