Individual
MARION WAYNE KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7500 STATE ROAD, ANESTHESIA INTENSIVE CARE CONSULTANTS INC, CINCINNATI, OH 45255
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DRIVE, SUITE 258 MILLENIUM ANESTHESIA LLC, EDGEWOOD, KY 41017
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
167349
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000277554
ANTHEM BLUE SHIELD
—
05
—
200381120
—
IN
05
—
2091196
—
OH
01
—
617582
WELLCARE
KY
01
—
728027
BUCKEYE
—
05
—
74005315
—
KY
Enumeration date
12/13/2005
Last updated
11/08/2011
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