SearchWest Virginia171M00000X

Kiana Wallace, MS

NPI 1447975305 · on the registry since 2022 · sole proprietor

Practice

Address
909 Morgantown Ave
Fairmont, WV 26554
Phone
(681) 758-1907
Organisation at this address
National Youth Advocate Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Female
Record last updated
2022-11-21

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 West Virginia