NPI 1548121049

Kevin Wiley

Practitioner Driver Winston Salem, NC

Practice location

Address: 3260 Shaftesbury Ln, Winston Salem, NC 27105-6947
Phone: (336) 999-4648

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence C2025246004971 (NC)

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Registry record

NPI: 1548121049
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Nov 2025
Record last updated: 24 Nov 2025

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.