Individual
ALISON KISAK
Active
Individual
ALISON KISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA004600
PA
363AM0700X
Medical Physician Assistant
MA004600
PA
363AS0400X
Surgical Physician Assistant
Primary
MA060078
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103600725
—
PA
01
—
14392225
CAQH
—
Enumeration date
11/14/2018
Last updated
02/26/2026
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