Individual
HEATHER RENA KISKADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
230 MEDICAL CENTER DR, SEAMAN, OH 45679-8002
(304) 382-3387
Mailing address
312 S MICHELE DR, MOUNT ORAB, OH 45154-8303
(304) 382-3387
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0037585
OH
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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