Individual
KENNETH JAAN WENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 VILLAGE CENTER BLVD STE 150, MYRTLE BEACH, SC 29579-6707
(843) 353-3460
(843) 903-9032
Mailing address
210 VILLAGE CENTER BLVD STE 150, MYRTLE BEACH, SC 29579-6707
(843) 353-3460
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
17498
SC
208VP0014X
Interventional Pain Medicine Physician
Primary
17498
SC
Other
Enumeration date
08/29/2006
Last updated
02/10/2023
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