Wise, Kimberly

Wise, Kimberly is an individual health care provider with primary practice located at 750 East Adams Street , Syracuse NY 13210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wise, Kimberly can be contacted via phone (315) 464-5450.

Contact Information

Primary practice address
750 East Adams Street Syracuse NY 13210
Phone: (315) 464-5450
Fax: (315) 464-6322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN233955 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN2332955 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 382971 New York

Profile Details

NPI number 1124663521
LBN Legal business name Wise, Kimberly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2019
Last updated May 28th, 2024 - about 2 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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