Individual
TRENA KISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
515 MAIN ST, MADISON, WV 25130-1417
(304) 369-0393
(304) 369-0371
Mailing address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
(304) 201-5019
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
57283
WV
363LF0000X
Family Nurse Practitioner
Primary
104680
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9702069000
—
WV
Enumeration date
03/07/2008
Last updated
01/30/2026
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