Individual
JENNIFER LYNN KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
321 S COLUMBIA ST, CHAPEL HILL, NC 27514-4309
(602) 821-8089
Mailing address
1409 VILLAGE CROSSING DR, CHAPEL HILL, NC 27517-7574
(602) 821-8089
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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