Individual
JAMES MITCHELL WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
315 W 15TH STREET, LIBERAL, KS 67901
(620) 624-1651
(620) 629-2472
Mailing address
315 W 15TH STREET, PO BOX 1340, LIBERAL, KS 67905-1340
(620) 624-1651
(620) 629-2472
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
529621
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100446560A
—
KS
Enumeration date
06/09/2006
Last updated
11/30/2015
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