Individual
BETH A KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1875 N RIDGE RD E, STE. A, LORAIN, OH 44055-3371
(440) 277-9355
(440) 277-9393
Mailing address
1875 N RIDGE RD E, STE. A, LORAIN, OH 44055-3371
(440) 277-9355
(440) 277-9393
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 2958
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000332145
ANTHEM BLUE CROSS
OH
05
—
2255956
—
OH
Enumeration date
09/12/2005
Last updated
12/15/2016
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