Individual
JESSICA KISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5489 KY ROUTE 680 APT 2, GRETHEL, KY 41631-9081
(606) 477-3789
Mailing address
5489 KY ROUTE 680 APT 2, GRETHEL, KY 41631-9081
(606) 477-3789
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
R03876504
KY
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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