Wist, Kim L.

Wist, Kim L. is an individual health care provider with primary practice located at 125 Sunrise Hwy , West Islip NY 11795-2009. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Wist, Kim L. can be contacted via phone (631) 422-0424.

Contact Information

Primary practice address
125 Sunrise Hwy West Islip NY 11795-2009
Phone: (631) 422-0424
Fax: (631) 422-1076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X006556 New York

Profile Details

NPI number 1114046893
LBN Legal business name Wist, Kim L.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2007 - about 18 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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