# AMELIA R KISER MD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578719118
- **Authorized official:** DR. AMELIA R KISER MD (PRESIDENT)
- **Authorized official phone:** (270) 651-1221

## Contact information

- **Practice address:** 218 COLUMBIA AVE, GLASGOW, KY 42141-2932
- **Practice address phone:** (270) 651-1221
- **Mailing address:** PO BOX 430, GLASGOW, KY 42142-0430
- **Mailing address phone:** (270) 651-1221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 33250 | KY | Yes |

## Other

- **Enumeration date:** 08/14/2008
- **Last updated:** 08/14/2008