Individual
MICHAEL L. KISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
24 E ARMUCHEE RD, LA FAYETTE, GA 30728-5506
(706) 397-2804
(706) 397-2808
Mailing address
24 E ARMUCHEE RD, LA FAYETTE, GA 30728-5506
(706) 397-2804
(706) 397-2808
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008473
GA
Other
Enumeration date
09/26/2005
Last updated
05/02/2018
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