Individual
KRISTEN LISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 771-1800
Mailing address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
274024
MA
Other
Enumeration date
04/01/2015
Last updated
07/13/2018
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