Individual
DR. KYLE PATRICK RISMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3590 LUCILLE DR, CINCINNATI, OH 45213-2674
(513) 475-7630
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
35.148956
OH
390200000X
Student in an Organized Health Care Education/Training Program
32697
MN
Other
Enumeration date
03/21/2018
Last updated
08/01/2023
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