Wise, Kayla Ruth

Wise, Kayla Ruth is an individual health care provider with primary practice located at 2130 Marcola Rd , Springfield OR 97477-2592. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Wise, Kayla Ruth can be contacted via phone (541) 747-3362.

Contact Information

Primary practice address
2130 Marcola Rd Springfield OR 97477-2592
Phone: (541) 747-3362
Fax: (541) 741-2287
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X CPT-0012209 Oregon

Profile Details

NPI number 1134791130
LBN Legal business name Wise, Kayla Ruth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2021
Last updated Jul 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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