Individual
KENNETH DAVID KISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 PARKVIEW DR, LAURENS, SC 29360-2652
(864) 984-0571
(864) 984-3610
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51545
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
515455
—
SC
Enumeration date
05/17/2006
Last updated
08/18/2023
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