| NPI | 1992448054 |
|---|---|
| Former Name | KAYDEE WILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 114250) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WV 36188) |
| Enumeration Date | 2022-04-17 |
| Last Update Date | 2023-10-05 |