Kandyce Ivory Wilson
Peer Specialist · Rocky River, OH
NPI number
1902496342
Practice location
1692 Lakeview AveRocky River, OH 44116-2443
- Phone
- (216) 760-3563
NPI record
- NPI
- 1902496342
- Entity type
- Individual (Type 1)
- Enumeration date
- January 20, 2021
- Last updated
- January 20, 2021
- Certified
- January 18, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
About Kandyce Wilson
Kandyce Ivory Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1692 Lakeview Ave, Rocky River, OH 44116-2443. The NPI number 1902496342 was assigned on January 20, 2021 and the record was last updated on January 20, 2021.
Frequently asked questions
What is the NPI number of Kandyce Ivory Wilson?
The NPI number is 1902496342.
What is the phone number of Kandyce Wilson?
The phone number listed for the practice location is (216) 760-3563.
Where is Kandyce Wilson located?
1692 Lakeview Ave, Rocky River, OH 44116-2443.
What is the taxonomy code for Kandyce Wilson?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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