SearchTexas103K00000X

Kendal Wise

NPI 1275267668 · on the registry since 2022

Practice

Address
10109 Lake Creek Pkwy # 170776
Austin, TX 78729
Phone
(971) 666-5675

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106S00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas