Individual
KATHLEEN WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
4252 ARENDELL ST STE C, MOREHEAD CITY, NC 28557-0015
(252) 726-8068
Mailing address
4252 ARENDELL ST STE C, MOREHEAD CITY, NC 28557-0015
(252) 726-8068
(252) 638-4648
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
CFM03151
NC
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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