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DR. KIM L. WIST D.C.
NPI 1114046893
Chiropractor in West Islip, NY

Active since March 27, 2007
125 SUNRISE HWY, WEST ISLIP, NY 11795(631) 422-0424(631) 422-1076 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kim L. Wist D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIM L. WIST D.C. (NPI 1114046893) is an individual chiropractor in West Islip, New York, licensed in New York (X006556) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1114046893
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KIM L. WISTCredential: D.C.
Location Address125 SUNRISE HWYWest Islip, NY 11795-2009
Mailing Address1331 Waverly AveFarmingville, NY 11738-1354 · (631) 736-8439 · Fax (631) 422-1076
Phone(631) 422-0424
Fax(631) 422-1076
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114046893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X006556
Definition
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.
125 SUNRISE HWY, West Islip, NY 11795
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Other Names 1

Other Name (5)Kim L. Wist-mangan

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BIANJIANG WANG LAC
Acupuncturist
125 SUNRISE HWY
W. ISLIP, NY 11795
Suffolk County (917) 376-9289
ADAM JOSEPH DRUCKER PA-C
Physician Assistant (Medical)
125 SUNRISE HWY
WEST ISLIP, NY 11795
Suffolk County (631) 400-3430
ADRIANE J COLLINS D.O.
Specialist
125 SUNRISE HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-6075
MRS. ASHLEY PEREZ PA
Physician Assistant
125 SUNRISE HWY
WEST ISLIP, NY 11795
Suffolk County (631) 983-4084
DR. ROBERT STEVEN CAIRES D.C.
Chiropractor
125 SUNRISE HWY
WEST ISLIP, NY 11795
Suffolk County (631) 422-0424
NASSAU SUFFOLK MEDICAL PLLC
Family Medicine
125 SUNRISE HWY
WEST ISLIP, NY 11795
Suffolk County (631) 983-4084
DANIEL GLIGANIC PA
Physician Assistant
125 SUNRISE HWY
WEST ISLIP, NY 11795
Suffolk County (631) 983-4084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Wist's NPI number?

The NPI number for Kim Wist is 1114046893. It was assigned to this individual provider in the NPPES registry on March 27, 2007. The provider is also known as Kim L. Wist-Mangan.

Where is Kim Wist located?

Kim Wist practices at 125 Sunrise Hwy, West Islip, NY 11795. The listed phone number is (631) 422-0424.

What is Kim Wist's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kim Wist was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.