| Doctor Name: | MS. KIVONEY WISDOM |
| NPI Number: | 1144616202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | H.I.S. |
| License Number: | 25MG00110700 |
| Business Practice Address: | 4201 Neshaminy Blvd Ste 104 Bensalem, PA - 190201620 |
| Business Phone Number: | 2153225240 |
| Business Fax Number: | 2153225241 |
| Mailing Address: | 1000 Dixon Rd, ELKINS PARK |
| State: | PA |
| Postal Code: | 190271114 |
| Phone Number: | 2153225240 |
| Fax Number: | 2153225241 |
| NPI Enumeration Date: | 04/15/2015 |
| NPI Last Update Date: | 04/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237700000X |
| License Number: | 25MG00110700 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Hearing Instrument Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |