Individual
ROBERT NICHOLAS KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
411 LOCKMAN RD, ELGIN, SC 29045-8715
(803) 466-0504
Mailing address
PO BOX 24293, COLUMBIA, SC 29224-4293
(803) 466-0504
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
144
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD1448
—
SC
Enumeration date
12/07/2005
Last updated
11/08/2007
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