Individual
MR. DAVID HILTON KISLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
181 W BOARDWALK DR, SUITE #201, FORT COLLINS, CO 80525-3069
(970) 226-0959
(970) 226-0962
Mailing address
181 W BOARDWALK DR, SUITE #201, FORT COLLINS, CO 80525-3069
(970) 226-0959
(970) 226-0962
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
113399
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110319
EYEMED
CO
05
—
79687831
—
CO
Enumeration date
11/10/2005
Last updated
07/09/2007
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