Individual
DR. KAMILA IZABELA CISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
529 S JACKSON ST, LOUISVILLE, KY 40202-3229
(502) 562-4370
Mailing address
529S JACKSON ST, LOUISVILLE, KY 40202-3229
(502) 852-4121
(502) 852-0012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125059031
IL
207R00000X
Internal Medicine Physician
47097
KY
207RH0003X
Hematology & Oncology Physician
Primary
47097
KY
Other
Enumeration date
07/08/2011
Last updated
04/11/2018
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