Individual
KITTY MISHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1504 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1213
(704) 645-8539
Mailing address
1504 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1213
(704) 645-8539
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
73448
NC
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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