MEDICARE: DR. KENNETH WAYNE VAWTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	200501605	NC

General Provider Information

NPI Number	:	1649268970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH WAYNE VAWTER MD

Provider Business Mailing Address
First Line	:	4881 SUGAR MAPLE DR
Second Line	:	WRIGHT-PATTERSON MEDICAL CENTER
City	:	DAYTON
State	:	OH
Zip	:	45433
Country	:	US
Telephone Number	:	937-257-9416
Fax Number	:	919-722-1952

Provider Business Practice Location Address
First Line	:	4881 SUGAR MAPLE DR
Second Line	:	WRIGHT PATTERSON AFB
City	:	DAYTON
State	:	OH
Zip	:	45433-5529
Country	:	US
Telephone Number	:	937-257-9416
Fax Number	:	937-656-1235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	03/16/2015

Similar Medicare Providers

1629058821 — DR. JOHN ROBERT DORSCH D.O.
Practice Location Address:

4881 SUGAR MAPLE DR
DAYTON, OH
45433-5529

Practice Phone: 937-257-0855
Practice Fax:

1962472712 — DR. REYNOLD RODNEY MARK D'LIMA M.D.
Practice Location Address:

4881 SUGAR MAPLE DRIVE , FAMILY PRACTICE, WRIGHT PATTERSON AIR FORCE BASE
DAYTON, OH
45433-5529

Practice Phone: 513-417-2613
Practice Fax: 937-656-1843

1679667828 — DR. JEREMY MICHAEL SIKORA M.D.
Practice Location Address:

4881 SUGAR MAPLE DR , 88 MDOS/SGOMA
DAYTON, OH
45433-5529

Practice Phone: 937-257-1684
Practice Fax: 937-257-1634

1861538605 — MR. DAVID DOUGLAS ROBY LISW-S
Practice Location Address:

4881 SUGAR MAPLE DR
DAYTON, OH
45433-5529

Practice Phone: 973-257-6877
Practice Fax:

1346382793 — KARLO MARIANO PT
Practice Location Address:

4881 SUGAR MAPLE DR
DAYTON, OH
45433-5529

Practice Phone: 937-257-8753
Practice Fax:

1336369545 — MR. KENT M PALMER ARNP-BC
Practice Location Address:

4881 SUGAR MAPLE DR
DAYTON, OH
45433-5529

Practice Phone: 937-257-9700
Practice Fax:

Directions to “ DR. KENNETH WAYNE VAWTER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.