IndividualActive
Kelly Wiley, BS MLS (ASCP)
NPI 1144530544 · Medical Technologist · Rapid City, SD
Provider details
- NPI number
- 1144530544
- Entity type
- Individual
- Primary specialty
- Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- BS MLS (ASCP)
- Sex
- Female
- Sole proprietor
- No
- License
- 25324986
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone: (605) 355-2229
Fax: (605) 355-2514
Approximate (ZIP-level) locationGet directions
Mailing address
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Registry dates
- Enumerated
- 2010-10-19
- Last updated
- 2010-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.