Kiyeesha Wilder
Individual provider Active NPI Home Health Aide · Melvindale, MI
NPI 1962943829 · NPPES record last updated Mar 12, 2017
Key facts
- NPI
- 1962943829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 17295 Palmer St
2
Melvindale, MI 48122-1247 - Phone
- (248) 469-3898
- NPI assigned
- Mar 12, 2017
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
17295 Palmer St
2
Melvindale, MI 48122-1247
Mailing address
17295 Palmer St
2
Melvindale, MI 48122-1247
Phone (248) 469-3898
Other providers in Melvindale, MI
- Andrew Smith
- Stephen Lukas Optician
- Keyunna Taylor
- The Cookie Project
- Stephanie Varner
- Amy Wood
- Safia Ali Yahia
All providers in Melvindale, MI · Home Health Aide in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.