Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTY ANN MCKISIC
Active Sole ProprietorKRISTY ANN MCKISIC is a Community/Behavioral Health healthcare provider located in FAIRMONT, West Virginia. NPI 1144825357 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · FAIRMONT, WV
Registration Details
- NPI Number
- 1144825357
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 3, 2020 (5.6527481067465 yrs)
- Last Updated
- Dec 3, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1036 SPEEDWAY AVE STE 2FAIRMONT, WV, 265544479Browse WV providers · Browse ZIP 26554
- Phone
- 6144878758
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- Community/Behavioral Health
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.