Individual
WILEY R KENT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
912 W MAIN ST, LEBANON, VA 24266-3814
(276) 880-0211
(276) 880-0213
Mailing address
912 W MAIN ST, LEBANON, VA 24266-3814
(276) 880-0211
(276) 880-0213
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002132
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205900974
—
VA
01
—
P00606362
RAILROAD MEDICARE
VA
01
—
P01658816
RAILROAD MEDICARE
VA
05
—
Q014539
—
TN
Enumeration date
11/17/2006
Last updated
06/05/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us