Individual
KIAL LYNNE WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14410 SE PETROVITSKY RD STE 104, RENTON, WA 98058-8900
(425) 690-3405
(425) 690-9405
Mailing address
14410 SE PETROVITSKY RD STE 104, RENTON, WA 98058-8900
(425) 690-3405
(425) 690-9405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60870304
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2015
Last updated
04/14/2022
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