Individual
MIKAELA KISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13682 APPALACHIAN HWY, DAVIS, WV 26260-8299
(304) 259-7828
(304) 259-5703
Mailing address
3813 STAUNTON AVE SE UNIT A, CHARLESTON, WV 25304-1537
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2394
WV
Other
Enumeration date
01/12/2020
Last updated
08/03/2021
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