NPI 1144530544

Kelly R Wiley, BSMLSASCP

Practitioner Medical Technologist Rapid City, SD

Practice location

Address: 3200 Canyon Lake Dr, Rapid City, SD 57702-8114
Phone: (605) 355-2229
Fax: (605) 355-2514

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence 25324986

Other Specialist/Technologist, Pathology providers in South Dakota →

Registry record

NPI: 1144530544
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2010
Record last updated: 19 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.