Individual
KENNETH LINDSEY KISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2922 N OAK ST STE C, VALDOSTA, GA 31602-1885
(229) 262-6819
Mailing address
5470 SERENDIPITY TRL, HAHIRA, GA 31632-3465
(229) 415-5175
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN066436
GA
Other
Enumeration date
04/11/2016
Last updated
04/14/2021
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