Kenetra Wise

NPI #1417355074 in Solon, Ohio

Provider Information

NPI Number: 1417355074
Entity Type: Individual
Name: Kenetra Wise
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Dec 15, 2014
Last Updated: Dec 15, 2014

Practice Location

Address: 6937 KINGSWOOD DR
City: Solon
State: Ohio
ZIP Code: 44139-4538
Phone: (216) 333-4547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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