Individual
TIMOTHY G KISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7500 STATE RD, CINCINNATI, OH 45255-2439
(513) 624-4500
Mailing address
4921 RELLEUM AVE, CINCINNATI, OH 45238-3805
(859) 803-5302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
308963
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.019711
OH
Other
Enumeration date
04/02/2018
Last updated
01/10/2019
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