person
Kelly R Wiley, BSMLS(ASCP)
Medical Technologist in Rapid City, South Dakota
NPI 1144530544

Kelly R Wiley is a Medical Technologist based in Rapid City, SD and is specialized in Medical Technologist. Kelly R Wiley practices in Rapid City, SD and has the professional credentials of BSMLS(ASCP). The NPI Number for Kelly R Wiley is 1144530544 and holds a License No. 25324986 (South Dakota).

The current practice location address for Kelly R Wiley is 3200 Canyon Lake Dr, Rapid City, SD and can be reached out via phone at 605-355-2229 and via fax at 605-355-2514.

Location: 3200 Canyon Lake Dr, Rapid City, SD, 57702-8114
person
Provider Profile Details
NPI Number
1144530544
Provider Name
Kelly R Wiley
Credential
BSMLS(ASCP)
Provider Entity Type
Individual
Gender
Female
Address
3200 Canyon Lake Dr, Rapid City, SD, 57702-8114
Phone Number
605-355-2229
Fax Number
605-355-2514
Provider Enumeration Date
10/19/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0140070 05 SD
5549050 01 SD MEDICAID
institution
Provider Business Practice Location Address Details
Address
3200 Canyon Lake Dr
City
State
Zip
57702-8114
Phone Number
605-355-2229
Fax Number
605-355-2514
person
Provider Business Mailing Address Details
Address
3200 Canyon Lake Dr
City
State
Zip
57702-8114
Phone Number
605-355-2229
Fax Number
605-355-2514
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Pathology
Speciality
Medical Technologist
Taxonomy
License No.
25324986 ()
Definition
Definition to come...
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