Individual
KYLEY JO WYSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7777 HENNESSY BLVD STE 211, BATON ROUGE, LA 70808-4365
(225) 765-7163
Mailing address
1163 W PEACHTREE ST NE APT 3007, ATLANTA, GA 30309-4550
(217) 280-0573
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
327880
LA
207P00000X
Emergency Medicine Physician
Primary
95628
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
06/30/2023
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