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Individual

NANCY L KISNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
155 SOLANO ST, CORNING, CA 96021-3511
(907) 398-1370
Mailing address
206 N POST OAK RD, WICHITA, KS 67206-2124
(620) 450-7236

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1500948
KS
363AM0700X
Medical Physician Assistant
Primary
PA64134
CA

Other

Enumeration date
03/15/2006
Last updated
09/11/2024
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