Individual
RYAN KEITH HISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6315 WALNUT ST, KANSAS CITY, MO 64113-2313
(913) 200-5207
Mailing address
8 NW BRIAR POINT DR, KANSAS CITY, MO 64116-1768
(913) 200-5207
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2014040794
MO
Other
Enumeration date
10/22/2014
Last updated
05/08/2018
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