Individual
PETER KISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
835 TUSCAN RD, HARKER HEIGHTS, TX 76548-8694
(877) 773-2563
Mailing address
3410 CHISHOLM TRL, SALADO, TX 76571-5451
(254) 217-7046
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
803440
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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