Individual
LOGAN KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 N MAIN ST, MEDICINE LODGE, KS 67104-1317
(620) 886-5161
Mailing address
PO BOX 5, LOGAN, KS 67646-0005
(785) 689-8831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100914
KS
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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