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

Kevin Gerard Wietecha, DO

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1669450557

Kevin Gerard Wietecha, DO is an Endocrinology in Canton, Ohio. Graduated from Michigan College of Medicine and Surgery in 1991, 35 years ago. Practices with Ohio Physician Professional Corporation, a 141-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
35
Trained at
Michigan College of Medicine and Surgery
Licensed in
OH
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.

See every abbreviation used in this directory →

Practice location Address checks out

4634 Hills And Dales Rd NW
Canton, OH 44708-1510
Phone: (330) 477-0255
Fax: (330) 477-7266
Show map & directions

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

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 34-00-6364W (OH)

Record details

NPI number1669450557
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 3, 2006
Last updated in NPPESJuly 13, 2026
Mailing address4634 Hills And Dales Rd Nw, Canton, OH 44708-1510

Medicare enrollment

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

Medicare specialtyENDOCRINOLOGY
Medical schoolMICHIGAN COLLEGE OF MEDICINE AND SURGERY
Graduated 1991 (35 years in practice)
Group practice Ohio Physician Professional Corporation — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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