Individual
JASON N KISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BOCPO/L
Contact information
Practice address
2611 GREENBO BLVD, FLATWOODS, KY 41139-1830
(606) 833-9631
(606) 836-7561
Mailing address
PO BOX 937, FLATWOODS, KY 41139-0937
(606) 833-9631
(606) 836-7561
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
TN
Other
Enumeration date
05/09/2008
Last updated
02/09/2009
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