Individual
MR. KYLE ALEXANDER FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1220 MISSOURI AVE, JEFFERSONVILLE, IN 47130-3743
(812) 283-2521
Mailing address
1220 MISSOURI AVE, JEFFERSONVILLE, IN 47130-3743
(812) 283-2521
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28214415A
IN
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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