Individual
DR. KELLY ANN KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1104 N VERMILION ST, DANVILLE, IL 61832-3094
(217) 442-2631
(217) 442-0119
Mailing address
1104 N VERMILION ST, DANVILLE, IL 61832-3094
(217) 442-2631
(217) 442-0119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019018427
MO
207W00000X
Ophthalmology Physician
Primary
036.171912
IL
207W00000X
Ophthalmology Physician
2019018427
MO
208600000X
Surgery Physician
036.171912
IL
Other
Enumeration date
06/22/2019
Last updated
10/27/2025
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