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Kalissa Bannister
NPI 1740744994 · on the registry since 2019
Practice
- Address
- 408 Jerick Cir
Charleston, WV 25302 - Phone
- (304) 881-1186
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Sex
- Female
- Record last updated
- 2019-01-22
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