Individual
DR. WENDELL H KISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 HENNESSY BLVD, BATON ROUGE, LA 70808-4300
(225) 765-4454
(225) 765-4288
Mailing address
16025 HIGHLAND BLUFF CT, BATON ROUGE, LA 70810-5630
(225) 892-5602
(225) 765-4288
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD.010138
LA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
010138
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1150436
—
LA
Enumeration date
11/02/2005
Last updated
12/19/2021
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