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Katherine Wisehart

NPI 1891243887 · on the registry since 2016 · sole proprietor

Practice

Address
185 Stargazer Dr
Smith River, CA 95567
Phone
(386) 576-6894

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
224Z00000X
Licence states on file
TX, OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-07

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 California