Individual
MR. JOHN C KISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
35 FACILITY DRIVE, MEDWEST, CLYDE, NC 28721
(828) 452-5042
(828) 452-9225
Mailing address
35 FACILITY DR, CLYDE, NC 28721-9438
(828) 452-8110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103183
NC
Other
Enumeration date
05/24/2005
Last updated
04/19/2017
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