Individual
CARSON KISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 PHYSICIANS DR, JACKSON, TN 38305-2070
(731) 240-1747
(731) 240-1755
Mailing address
60 PHYSICIANS DR, JACKSON, TN 38305-2070
(731) 240-1747
(731) 240-1755
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
60769
TN
Other
Enumeration date
04/15/2014
Last updated
07/16/2020
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