IndividualActive
Keisha Wilson, HAIR LOSS SPECIALIST
NPI 1508590712 · Prosthetics Case Management · Charlotte, NC
Provider details
- NPI number
- 1508590712
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Credential
- HAIR LOSS SPECIALIST
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
1005 Beatties Ford Rd
Charlotte, NC 28216-5033
Phone: (980) 859-3002
Approximate (ZIP-level) locationGet directions
Mailing address
1005 Beatties Ford Rd
Charlotte, NC 28216-5033
Registry dates
- Enumerated
- 2022-07-13
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.