Individual
MRS. MELISSA M HISER-KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5395
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40672
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000484201
ANTHEM
KY
01
—
000000587248
NIS/ANTHEM
—
01
—
0000570941
NIS/HUMANA
—
01
—
0720442
NIS/CIGNA
—
01
—
099722
NIS/SIHO
—
01
—
200852080
IN MEDICAID/NORTON
IN
05
—
200852080
—
IN
01
—
50020898
PASSPORT
—
05
—
7100005210
—
KY
01
—
7695805
AETNA
KY
Enumeration date
07/05/2006
Last updated
02/09/2023
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