Individual
RYAN KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 CHILDRENS AVE # 14500, OKLAHOMA CITY, OK 73104-4637
(405) 271-5312
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
35517
OK
390200000X
Student in an Organized Health Care Education/Training Program
RS2017-0327
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/22/2017
Last updated
05/18/2020
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