Individual
KEISHA CHALET WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
1005 BEATTIES FORD RD, CHARLOTTE, NC 28216-5033
(980) 859-3002
Mailing address
1005 BEATTIES FORD RD, CHARLOTTE, NC 28216-5033
(704) 891-3723
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
NC
Other
Enumeration date
07/13/2022
Last updated
02/05/2026
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