Individual
DR. JENNY KISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1508 BROOK AVE, WICHITA FALLS, TX 76301-5604
(940) 761-2317
(940) 761-2992
Mailing address
1508 BROOK AVE, WICHITA FALLS, TX 76301-5604
(940) 761-2317
(940) 761-2992
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6311TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1550295-01
—
TX
05
—
155029505
—
TX
Enumeration date
01/06/2006
Last updated
03/25/2025
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