MR. Kevin Tyrone Wansley SR., NP
NPI #1467264499 in Byram, Mississippi
Provider Information
- NPI Number
- 1467264499
- Entity Type
- Individual
- Name
- MR. Kevin Tyrone Wansley SR., NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Jan 27, 2025
- Last Updated
- Jan 27, 2025
Practice Location
- Address
- 226 CHARLENE DR
- City
- Byram
- State
- Mississippi
- ZIP Code
- 39272-6418
- Phone
- (601) 341-7879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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