Individual
DR. JOHN M KISALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3003 TIETON DR, SUITE 300, YAKIMA, WA 98902-3679
(509) 575-3946
(509) 225-6449
Mailing address
PO BOX 2947, YAKIMA, WA 98907-2947
(509) 248-7849
(509) 248-8291
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00044226
WA
Other
Enumeration date
07/22/2006
Last updated
01/02/2008
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