Individual
KAITLYN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4820 N OAK TRFY, KANSAS CITY, MO 64118-4691
(816) 452-8845
(816) 452-6794
Mailing address
6104 NW 101ST CT, KANSAS CITY, MO 64154-1767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-109667
KS
183500000X
Pharmacist
Primary
2020038198
MO
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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