Individual
RICHARD M KISHIUE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
865 LINCOLN RD, STE 100, BETTENDORF, IA 52722-4159
(563) 355-1000
(563) 344-2975
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23445
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019811
IOWA HEALTH SOLUTIONS
—
01
—
035512
HEALTH ALLIANCE
—
01
—
29599
WELLMARK BC/BS
—
05
—
4212043
—
IA
01
—
4796890005
DMERC
—
01
—
IA0141
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/21/2005
Last updated
07/09/2007
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