Individual
KATHLEEN J WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
16 SAINT CHARLES DR, GUYTON, GA 31312-5380
(912) 996-4743
(912) 519-0685
Mailing address
16 SAINT CHARLES DR, GUYTON, GA 31312-5380
(912) 996-4743
(912) 519-0685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
265277
SC
163W00000X
Registered Nurse
RN275180
GA
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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