Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Wiseman, DO

Individual provider Family Medicine Physician · NPI 1427083849

Dr. Kenneth Wiseman, DO is a Family Practice in Philadelphia, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 1979, 47 years ago. Practices with Complete Physician Services, a 4-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
47
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1216 E Hunting Park Ave
Philadelphia, PA 19124
Phone: (215) 533-1333
Fax: (215) 744-4324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS-004457-L (PA)

Record details

NPI number1427083849
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESMarch 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1979 (47 years in practice)
Group practice Complete Physician Services — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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