Individual provider · Type 1 NPI

Kim L. Wist, DC

Chiropractor · West Islip, NY

NPI number 1114046893 Active

Practice location

125 Sunrise Hwy
West Islip, NY 11795-2009

Call (631) 422-0424 Map

Fax (631) 422-1076

Mailing address

1331 Waverly Ave
Farmingville, NY 11738-1354

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	X006556 (NY)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1114046893

Kim L. Wist, DC's National Provider Identifier is 1114046893, issued on Mar 27, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in West Islip, NY. The record was last updated on Jul 8, 2007.