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Individual

KELCY WILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1 ANNA MARSH LN, DUMMERSTON, VT 05301-3292
(802) 258-6877
(802) 258-3788
Mailing address
1 ANNA MARSH LN, DUMMERSTON, VT 05301-3292
(802) 258-6877
(802) 258-3788

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0134983
VT
363LF0000X
Family Nurse Practitioner
CNP151191
ME
363LF0000X
Family Nurse Practitioner
R182450
MD

Other

Enumeration date
06/03/2015
Last updated
01/21/2026
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