Individual
DR. KIMBERLY ANNE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7301 MISSION RD STE 350, PRAIRIE VILLAGE, KS 66208-3075
(913) 588-6300
(913) 274-3515
Mailing address
2106 OLATHE BLVD MAILSTOP 4004, KANSAS CITY, KS 66160-0001
(913) 588-6300
(913) 274-3515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
148910
NC
208000000X
Pediatrics Physician
Primary
442197
KS
208000000X
Pediatrics Physician
65701
GA
Other
Enumeration date
04/29/2008
Last updated
07/28/2025
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