Physician Compare National (NPI:1750756953)

HEALTHCARE PROVIDER: KEVIN WHEELER D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1750756953
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749539716
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180824002102
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WHEELER
	Individual professional last name
Provider First Name	KEVIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	601 MEADOW LN
	Group Practice or individual's line 1 address
City	WAUSEON
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	435671229
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y