Kali Wise
Individual provider Active NPI Homemaker · Tornado, WV
NPI 1558092841 · NPPES record last updated Jun 18, 2022
Key facts
- NPI
- 1558092841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 112 Riverview Dr
Tornado, WV 25202-9716 - Phone
- (304) 767-5852
- NPI assigned
- Jun 18, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
112 Riverview Dr
Tornado, WV 25202-9716
Mailing address
5480 Shawnee Cir Apt 5
Huntington, WV 25705-3332
Phone (304) 205-2943
Other providers in Tornado, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.