Individual
KIL' ANTA' CHEYANNE-DYSHYLL WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 224, SIMS, NC 27880-0224
(919) 805-4195
Mailing address
PO BOX 224, SIMS, NC 27880-0224
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18594
NC
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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