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Individual
JOHN KISKIN
Active
Individual
JOHN KISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14318
WI
225100000X
Physical Therapist
Primary
296676
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA364305
MEDICARE
CA
01
—
CA364306
MEDICARE
CA
Enumeration date
07/13/2018
Last updated
01/11/2021
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