Individual
BENJAMIN KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1602 AUTUMN OAK LN, FAIRBORN, OH 45324-6445
(937) 545-3583
Mailing address
1602 AUTUMN OAK LN, FAIRBORN, OH 45324-6445
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN.510519
OH
Other
Enumeration date
05/09/2026
Last updated
05/09/2026
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