Individual
KANDI WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 S KANAWHA ST, BECKLEY, WV 25801-6239
(681) 220-0283
(681) 220-0283
Mailing address
1614 S KANAWHA ST, BECKLEY, WV 25801-6239
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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