Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KISTRICIA BREYANNA WADE, CNA
Active Sole ProprietorKISTRICIA BREYANNA WADE, CNA is a Foot & Ankle Surgery healthcare provider located in CHARLESTON, South Carolina. NPI 1629891072 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · CHARLESTON, SC
Registration Details
- NPI Number
- 1629891072
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2024 (1.7579075731224 yrs)
- Last Updated
- Nov 4, 2024
- License
-
5899646 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1815 CENTRAL PARK RD APT F10CHARLESTON, SC, 294122807Browse SC providers · Browse ZIP 29412
- Phone
- 8439252995
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
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.