Wylie, Kimberli Leesa

Wylie, Kimberli Leesa is an individual health care provider with primary practice located at 31 6Th St , Malone NY 12953-1246. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wylie, Kimberli Leesa can be contacted via phone (518) 483-3261.

Contact Information

Primary practice address
31 6Th St Malone NY 12953-1246
Phone: (518) 483-3261
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 36737 New York

Profile Details

NPI number 1831628817
LBN Legal business name Wylie, Kimberli Leesa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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