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

Kenneth Wise, MD

Individual provider Anesthesiology Physician · NPI 1447833298

Kenneth Wise, MD is an Anesthesiology in Twentynine Palms, California. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 2021, 5 years ago. Practices with Eisenhower Medical Center, a 459-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Virginia.

Years since qualifying
5
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
CA, VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1145 Sturgis St
Twentynine Palms, CA 92278
Phone: (410) 707-6293
Show map & directions

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

Additional practice locations (1)

  • 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 — (760) 340-3911

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A203427 (CA)
General Practice Physician Taxonomy 208D00000X · Licence 0101275874 (VA)

Record details

NPI number1447833298
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2021
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 2021 (5 years in practice)
Group practice Eisenhower Medical Center — 459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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