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Individual

STEPHEN KISHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1450 POYDRAS ST, NEW ORLEANS, LA 70112-6010
(504) 903-1932
Mailing address
1340 POYDRAS ST, SUITE 1640, NEW ORLEANS, LA 70112-1221
(504) 412-1835

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
05938R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03678548
MS
05
1327204
LA
Enumeration date
07/25/2006
Last updated
10/29/2008
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