Individual
KEVIN DAVID KISWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4434 HIGHWAY 58, CHATTANOOGA, TN 37416-3007
(423) 894-3662
(423) 894-3869
Mailing address
4434 HIGHWAY 58, CHATTANOOGA, TN 37416-3007
(423) 894-3662
(423) 894-3869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11997
TN
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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