Individual
DR. DARRELL H RISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8 DOGWOOD ST, HYDEN, KY 41749
(606) 672-3550
(606) 672-3566
Mailing address
PO BOX 941, 8 DOGWOOD ST, HYDEN, KY 41749
(606) 672-3550
(606) 672-3566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5259
KY
1223G0001X
General Practice Dentistry
5259
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45608619
—
KY
05
—
60052594
—
KY
Enumeration date
08/30/2006
Last updated
04/11/2008
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