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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922257278 | NPPES |
| Kentucky | MEDICAID | 7100058130 |
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