Individual
KEIRA KAY WILDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1895 E DIXON BLVD, SHELBY, NC 28152-6901
(980) 306-4201
(704) 445-7016
Mailing address
1895 E DIXON BLVD, SHELBY, NC 28152-6901
(980) 306-4201
(704) 445-7016
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
98307
NC
Other
Enumeration date
12/09/2025
Last updated
04/29/2026
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