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Organization

DR HENRY KISER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HENRY J KISER MD (OWNER)
(318) 426-1094
Entity
Organization

Contact information

Practice address
2525 VIKING DR, BOSSIER CITY, LA 71111-2103
(318) 841-2525
(318) 425-8438
Mailing address
PO BOX 1684, SHREVEPORT, LA 71165-1684
(318) 424-4008
(318) 424-6606

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22656
LA

Other

Enumeration date
03/10/2015
Last updated
03/12/2015
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