Individual
MS. ALISABETH JEAN KISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
757 ACADEMIC LN, HEATHSVILLE, VA 22473-3316
(804) 580-8032
Mailing address
6782 E RIVER RD, KING WILLIAM, VA 23086-3437
(804) 543-0272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001202
VA
Other
Enumeration date
07/31/2023
Last updated
06/10/2025
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