Individual
DANIEL BRUCE KISCHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
327 EASTBROOKE POINTE DR, SUITE 200, MT WASHINGTON, KY 40047-5561
(502) 538-5090
(502) 538-4089
Mailing address
PO BOX 950293, LOUISVILLE, KY 40295-0293
(888) 987-1875
(405) 609-1491
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45910
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201176530
—
IN
05
—
7100166220
—
KY
Enumeration date
03/31/2010
Last updated
08/24/2016
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