Individual
JENNIE KISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
Mailing address
452 W MARKET ST, XENIA, OH 45385-2815
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
S2101916TRNE
OH
Other
Enumeration date
10/18/2018
Last updated
09/24/2021
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