SearchPennsylvania374J00000X

Kenisha Wilson

NPI 1760246615 · on the registry since 2024 · sole proprietor

Practice

Address
310 Fleet St
Braddock, PA 15104
Phone
(412) 952-1373

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-12

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 Pennsylvania