Individual
MR. CRAIG VINCENT KISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
43 E MAIN ST, AMELIA, OH 45102-1993
(513) 479-0036
Mailing address
1569 HUNT CLUB DR, MILFORD, OH 45150-8742
(513) 900-9294
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
359484
OH
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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