1. Home
  2. Directory
  3. South Dakota
  4. Rapid City
  5. Specialist Technologist Pathology
  6. NPI Profile

KELLY R WILEY BS MLS (ASCP)
NPI 1144530544
Specialist/Technologist, Pathology - Medical Technologist in Rapid City, SD

Active since October 19, 2010
3200 CANYON LAKE DR, RAPID CITY, SD 57702(605) 355-2229(605) 355-2514 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly R Wiley Bs Mls (ascp) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY R WILEY BS MLS (ASCP) (NPI 1144530544) is an individual medical technologist in Rapid City, South Dakota, licensed in (25324986) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1144530544
Entity TypeIndividualFemale
Primary Taxonomy246QM0706X
Provider Legal NameKELLY R WILEYCredential: BS MLS (ASCP)
Location Address3200 CANYON LAKE DRRapid City, SD 57702-8114
Mailing Address3200 Canyon Lake DrRapid City, SD 57702-8114 · (605) 355-2229 · Fax (605) 355-2514
Phone(605) 355-2229
Fax(605) 355-2514
Sole ProprietorNo
Enumeration DateOctober 19, 2010
✔ NPI 1144530544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Pathology · Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QM0706X
License✔ Licensed · 25324986
3200 CANYON LAKE DR, Rapid City, SD 57702
Open in Google Maps ↗

Other Identifiers 5

Medicaid0140070SD
Medicare OSCAR/certification430082SD
Other5549050SD · Medicaid
Medicare UPINPHS000SD
Medicare PINHSZ050SD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABBYGAIL BINGHAM MLT
Technician, Pathology
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2229
JOLENE PETERSON MSW LCSW PIP
Social Worker (Clinical)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2215
MS. DONNA MARIE HUBER RN
Registered Nurse
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2298
MICHELLE GIBALDI
Technician, Pathology (Medical Laboratory)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2228
KATHY HOGG
Registered Nurse (Case Management)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2500
OGLALA SIOUX TRIBE
Non-emergency Medical Transport (VAN)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 343-7832
FRANCES MARIE GRAY RN
Registered Nurse
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2500
MRS. JEANETTE KAY OFSTAD MT(ASCP)
Specialist/Technologist, Pathology (Medical Technologist)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Wiley's NPI number?

The NPI number for Kelly Wiley is 1144530544. It was assigned to this individual provider in the NPPES registry on October 19, 2010.

Where is Kelly Wiley located?

Kelly Wiley practices at 3200 Canyon Lake Dr, Rapid City, SD 57702. The listed phone number is (605) 355-2229.

What is Kelly Wiley's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Medical Technologist, with taxonomy code 246QM0706X.

When was this NPI record last updated?

The NPPES record for Kelly Wiley was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.