Individual
LISA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
2340 E MEYER BLVD, BLDG 2 SUITE 480, KANSAS CITY, MO 64132-1116
(816) 276-1700
(816) 276-1703
Mailing address
2340 E MEYER BLVD, BLDG 2 SUITE 480, KANSAS CITY, MO 64132-1116
(816) 276-1700
(816) 276-1703
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2024005886
MO
Other
Enumeration date
02/19/2024
Last updated
03/07/2024
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