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

Keneil Wiggan

Individual provider Licensed Vocational Nurse · NPI 1285102079

Keneil Wiggan is a Licensed Vocational Nurse in Flushing, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

6712 Yellowstone Blvd Apt C11
Flushing, NY 11375-2330
Phone: (347) 592-3159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 331714 (NY)

Record details

NPI number1285102079
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 9, 2018
Last updated in NPPESNovember 9, 2018
Mailing address6712 Yellowstone Blvd Apt C11, Flushing, NY 11375-2330