Kisala, John M
Kisala, John M is an individual health care provider with primary practice located at 3003 Tieton Dr Suite 300, Yakima WA 98902-3679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kisala, John M can be contacted via phone (509) 575-3946.Contact Information
Primary practice address
3003 Tieton Dr Suite 300
Yakima WA 98902-3679
Phone: (509) 575-3946
Fax: (509) 225-6449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00044226 | Washington |
Profile Details
| NPI number | 1629099759 |
|---|---|
| LBN Legal business name | Kisala, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jan 2nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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