Kali Wise
Homemaker in Tornado, WV. Individual provider (NPI-1).
NPI number1558092841
StatusActive
Last updated in NPPESJun 18, 2022
Details
- NPI
- 1558092841
- Entity type
- Individual (NPI-1)
- Name
- Kali Wise
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2022
- Certification date
- Jun 16, 2022
- Last updated
- Jun 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
Practice location
112 Riverview DrTornado, WV 25202-9716
Phone 304-767-5852
Mailing address
5480 Shawnee Cir Apt 5Huntington, WV 25705-3332
Phone 304-205-2943
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