Kiser, Phillip Lee

Kiser, Phillip Lee is an sole proprietor health care provider with primary practice located at 1400 Grand Ave , Newport KY 41071-2570. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kiser, Phillip Lee can be contacted via phone (859) 905-3070.

Contact Information

Primary practice address
1400 Grand Ave Newport KY 41071-2570
Phone: (859) 905-3070
Fax: (859) 441-1348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00046836 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40616 Kentucky

Profile Details

NPI number 1356446447
LBN Legal business name Kiser, Phillip Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Mar 27th, 2024 - 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 1356446447 NPPES
Kentucky Other 40616 MEDICAL LICENSE
Kentucky MEDICAID 7100015240 MEDICAL LICENSE
Kentucky Other 000000511094 MEDICAL LICENSE

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