Individual
CONNIE KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
520 VIOLET ROAD, CRITTENDEN, KY 41030
(859) 428-4100
(859) 428-2134
Mailing address
520 VIOLET ROAD, CRITTENDEN, KY 41030
(859) 428-4100
(859) 428-2134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0535
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
04/10/2007
Last updated
07/08/2007
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