Individual
MRS. KELLY ROBERTS WIGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COF
Contact information
Practice address
107 EAST WALKER STREET, EAST FLAT ROCK, NC 28726
(828) 595-9371
(828) 595-9373
Mailing address
107 EAST WALKER STREET, EAST FLAT ROCK, NC 28726
(828) 595-9371
(828) 595-9373
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
01/03/2011
Last updated
03/06/2013
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