Individual
PATRICIA M KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2300 RANDOLPH RD, SUITE A, CHARLOTTE, NC 28207-1127
(704) 316-7760
(704) 316-7761
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-7760
(704) 316-7761
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004732
NC
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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