Individual
MAKAYLA ANN KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
210 BEVINS LN, SUITE C, GEORGETOWN, KY 40324-6120
(502) 868-0622
(502) 868-9097
Mailing address
4071 TATES CREEK CENTRE DR, SUITE 202, LEXINGTON, KY 40517-3062
(502) 868-0622
(502) 868-9097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03888
KY
Other
Enumeration date
06/13/2013
Last updated
12/07/2020
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