Kelly R Wiley, BS MLS (ASCP)
NPI #1144530544 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1144530544
- Entity Type
- Individual
- Name
- Kelly R Wiley, BS MLS (ASCP)
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Pathology - Medical Technologist
- Credential
- BS MLS (ASCP)
- Enumeration Date
- Oct 19, 2010
- Last Updated
- Oct 19, 2010
Practice Location
- Address
- 3200 CANYON LAKE DR
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57702-8114
- Phone
- (605) 355-2229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Pathology - Medical Technologist — Medical Technologist |
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