Individual
KALEY F. C. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-0701
(715) 236-8325
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11678-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11678-33
ADVANCED PRACTICE NURSE PRACTITIONER
WI
01
—
231787-30
REGISTERED NURSE
WI
Enumeration date
12/07/2021
Last updated
11/06/2024
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