Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kandyce Ivory Wilson

Individual provider Peer Specialist · NPI 1902496342

Kandyce Ivory Wilson is a Peer Specialist in Rocky River, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1692 Lakeview Ave
Rocky River, OH 44116-2443
Phone: (216) 760-3563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1902496342
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 20, 2021
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 18, 2021
Mailing address1692 Lakeview Ave, Rocky River, OH 44116-2443

Other providers in Rocky River