Individual
MELISSA LYNN KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
826 RIDGEWOOD DR, APT 1, FORT WAYNE, IN 46805-1343
(575) 849-8647
Mailing address
826 RIDGEWOOD DR, APT 1, FORT WAYNE, IN 46805-1343
(574) 849-8647
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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