Individual
DR. DAVID JAMES KISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
802 COLUMBIA ST, LAFAYETTE, IN 47901-1439
(765) 428-8800
(765) 428-1010
Mailing address
802 COLUMBIA ST, LAFAYETTE, IN 47901-1439
(765) 428-8800
(765) 446-0697
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34000428A
IN
106H00000X
Marriage & Family Therapist
Primary
35000871A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202222
BCBS
IN
Enumeration date
12/05/2006
Last updated
05/19/2016
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