Individual
HEATHER LEIGH KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
925 THISTLE PL SE, WARREN, OH 44484-2624
(330) 550-5091
Mailing address
925 THISTLE PL SE, WARREN, OH 44484-2624
(330) 550-5091
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 129590-MEDS
OH
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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