Search › New York › 163W00000X
Kellie Wiackley, RN
NPI 1134984974 · on the registry since 2024
Practice
- Address
- 275 Caselton Ave
Staten Island, NY 10301 - Phone
- (347) 539-3670
Additional practice sites
- 575 8th Ave Fl 6, New York, NY
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York