Individual
MRS. KATHY G WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D,
Contact information
Practice address
4974 HIGBEE AVE NW, SUITE 100, CANTON, OH 44718-2562
(330) 493-4666
(330) 493-4849
Mailing address
4974 HIGBEE AVE NW, SUITE 100, CANTON, OH 44718-2562
(330) 493-4666
(330) 493-4849
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD917
OH
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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