Individual
DR. JULIE A. KISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D., FACP
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
12902 MAGNOLIA DRIVE MCC-SA, H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE, TAMPA, FL 33612-9416
(813) 745-3822
(813) 745-1908
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
G6191
TX
207RX0202X
Medical Oncology Physician
Primary
ME0067902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258818800
—
FL
Enumeration date
10/21/2005
Last updated
02/04/2014
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