Kiser, Shannon C

Kiser, Shannon C is an individual health care provider with primary practice located at 65 Hospital Dr Cornwell Center, Athens OH 45701-2302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kiser, Shannon C can be contacted via phone (740) 566-4890.

Contact Information

Primary practice address
65 Hospital Dr Cornwell Center Athens OH 45701-2302
Phone: (740) 566-4890
Fax: (740) 566-4891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10947-NP Ohio

Profile Details

NPI number 1730414962
LBN Legal business name Kiser, Shannon C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2009
Last updated Sep 1st, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730414962 NPPES
Ohio MEDICAID 3014017

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