Individual
KALI WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 RIVERVIEW DR, TORNADO, WV 25202-9716
(304) 767-5852
Mailing address
5480 SHAWNEE CIR APT 5, HUNTINGTON, WV 25705-3332
(304) 205-2943
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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