| Doctor Name: | MISS KATHY MAE WILEY |
| NPI Number: | 1952685471 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 44945 |
| Business Practice Address: | 106 Willow Rd Goodland, KS - 677351518 |
| Business Phone Number: | 7858906075 |
| Business Fax Number: | 7858906077 |
| Mailing Address: | 106 Willow Rd, GOODLAND |
| State: | KS |
| Postal Code: | 677351518 |
| Phone Number: | 7858906075 |
| Fax Number: | 7858906077 |
| NPI Enumeration Date: | 10/03/2011 |
| NPI Last Update Date: | 08/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 44945 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |