Individual
DR. HENRY JACKSON KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 HOSPITAL DR, SUITE 130, BOSSIER CITY, LA 71111-2385
(318) 212-7990
(318) 212-7995
Mailing address
2400 HOSPITAL DR, SUITE 130, BOSSIER CITY, LA 71111-2385
(318) 212-7990
(318) 212-7995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022656
LA
207R00000X
Internal Medicine Physician
MD.022656
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1494836
—
LA
Enumeration date
06/18/2006
Last updated
10/09/2013
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