NPI 1487795456

Christine M Wise

Practitioner Contractor Shawnee, KS

Practice location

Address: 10411 W 52nd Cir, Shawnee, KS 66203-1811
Phone: (913) 636-4409

Registered specialties (2)

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 2005023703 (MO)

Other Contractor providers in Kansas →

Contractor

Other Service Providers Taxonomy 171W00000X Licence 17-01026 (KS)

Registry record

NPI: 1487795456
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2007
Record last updated: 3 Mar 2015

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.