Kisby, Larry G
Kisby, Larry G is an individual health care provider with primary practice located at 710 Reynolds Road , Fremont NE 68025-2300. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kisby, Larry G can be contacted via phone (402) 727-1091.Contact Information
Primary practice address
710 Reynolds Road
Fremont NE 68025-2300
Phone: (402) 727-1091
Fax: (402) 727-7628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 358 | Nebraska |
Profile Details
| NPI number | 1639127517 |
|---|---|
| LBN Legal business name | Kisby, Larry G |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 10th, 2007 - about 17 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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