Kenna W Wiles P.A.

NPI 1043204126 - Physician Assistant - 363A00000X

NPI Details
NPI 1043204126
Gender Female
Enumeration Date 09/06/2005
Last Updated 04/02/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
1009 N MONROE ST
ALBANY GA, 31701-1903, US
Phone (229) 883-0298
Fax (229) 438-7898
Business Location
2402 DEVON DR
ALBANY GA, 31721-2126, US
Phone (229) 420-0227
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Georgia
License Number 003077
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According to our database, Kenna W Wiles P.A. NPI is 1043204126, taxonomy code is 363A00000X and license number is 003077, license state is located at Georgia. Kenna W Wiles P.A. physically located at 1009 N Monroe St, Albany GA, 31701-1903. NPI Number Kenna W Wiles P.A. has the Individual type.

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1043204126 NPI number is provided on an as is basis without warranty of any kind. 1043204126 is maintained by the National Plan & Provider Enumeration System. The contents of Kenna W Wiles P.A. are for informational purposes only.