NPI 1245047661
Kyra L Wise, LPN
Practice location
- Address
- 7171 Keck Park Cir NW, North Canton, OH 44720-6301
- Phone
- (330) 807-8253
- Mailing address
- 5026 Kelly Ave, Rootstown, OH 44272-9306
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1245047661
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Dec 2024
- Record last updated
- 18 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.