Individual
ELLEN FERN KISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9863 E CENTER ST, WINDHAM, OH 44288-1039
(330) 307-7903
(330) 543-3782
Mailing address
9863 E CENTER ST, WINDHAM, OH 44288-1039
(330) 307-7903
(330) 543-3782
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
062500
OH
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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