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Contact Information

CHRISTINA S WISE, MD
20 WEST 18TH STREET
COVINGTON, KY41011-3329
 Phone: 859-757-0717
 Fax: 859-331-2425
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for CHRISTINA S WISE · (Female)

NPI Number 1730342635
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2008
Last updated 02/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 45447
  • KY License # TP315
  • OH License # 099222
Hospital affiliation(s)
  • ST ELIZABETH MEDICAL CENTER NORTH - (Acute Care)
    1 MEDICAL VILLAGE DRIVE
    LAKESIDE PARK, KY 41017
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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