Kayla Rose Wiltman

Individual provider Active NPI Personal Care Attendant · Wakefield, NE

NPI 1598528010 · NPPES record last updated Feb 6, 2024

Key facts

NPI
1598528010
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
211 10TH St
Wakefield, NE 68784-5014
Phone
(402) 287-2061
NPI assigned
Feb 6, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

211 10TH St
Wakefield, NE 68784-5014

Mailing address

211 10TH St
Wakefield, NE 68784-5014
Phone (402) 287-2061

Other providers in Wakefield, NE

All providers in Wakefield, NE · Personal Care Attendant in Nebraska

Sources for this page

Verify at the official NPI Registry.