Individual
BENJAMIN LUKE KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
214 HIGHWAY 3086, JENKINS, KY 41537-9204
(606) 212-1131
(606) 212-1195
Mailing address
214 HIGHWAY 3086, JENKINS, KY 41537-9204
(276) 212-1131
(276) 212-1195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172025
VA
363LF0000X
Family Nurse Practitioner
47901
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417188285
—
KY
05
—
1417188285
—
VA
05
—
7100100220
—
KY
01
—
P01574211
RAILROAD MEDICARE
VA
Enumeration date
07/28/2009
Last updated
09/23/2022
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