Individual
DAVID THOMAS KISHA
Active
Individual
DAVID THOMAS KISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012979L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026928760001
—
PA
01
—
1326008798
HEALTH AMERICA/HEALTH ASSURANCE
PA
01
—
339462
HIGHMARK BLUE SHIELD
PA
01
—
50107119
CAPITAL BLUE CROSS
PA
Enumeration date
03/28/2006
Last updated
01/13/2015
Update your record
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