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Khianti Wilson
NPI 1346694700 · on the registry since 2016
Practice
- Address
- 3308 Tulane Ave Ste 407
New Orleans, LA 70119 - Phone
- (504) 821-6830
- Organisation at this address
- Omega Med Llc
Avita Drugs Llc
Mediscan Imaging Inc
Kenneth L. Wiley, Llc
Carc Community PharmacyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 50
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-21
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 Louisiana