Kise, Lisa A

Kise, Lisa A is an individual health care provider with primary practice located at 275 W Cocoa Beach Cswy , Cocoa Beach FL 32931-3529. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kise, Lisa A can be contacted via phone (321) 799-7777.

Contact Information

Primary practice address
275 W Cocoa Beach Cswy Cocoa Beach FL 32931-3529
Phone: (321) 799-7777
Fax: (321) 799-1550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1054593 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5673P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5673P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 008855 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005673 Kentucky

Profile Details

NPI number 1922257278
LBN Legal business name Kise, Lisa A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2008
Last updated Mar 27th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1922257278 NPPES
Kentucky MEDICAID 7100058130

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