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Contact Information

KIMBERLY L WILEY, NP
3970 DEPUTY BILL CANTRELL MEM STE 100
CUMMING, GA30040-3069
 Phone: 678-513-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIMBERLY L WILEY · (Female)

NPI # 1386279362
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 03/10/2020
Last updated 02/10/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 184643
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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