Individual
KELSEY S WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(717) 988-0000
(717) 782-5716
Mailing address
409 SOUTH SECOND STREET, SUITE 2F, HARRISBURG, PA 17104-1612
(717) 988-0000
(717) 782-5716
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017824
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103374320
—
PA
Enumeration date
05/16/2017
Last updated
01/23/2021
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