Provider Demographics
NPI:1063984581
Name:WILEY, ALISON
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:WILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21603 W 99TH ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66220-2678
Mailing Address - Country:US
Mailing Address - Phone:816-674-1052
Mailing Address - Fax:
Practice Address - Street 1:JOHNSON COUNTY HEALTH AND ENVIRONMENT
Practice Address - Street 2:11875 S. SUNSET DRIVE SUITE 300
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-6606
Practice Address - Country:US
Practice Address - Phone:913-477-8431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator