Kisner, Carson
Kisner, Carson is an sole proprietor health care provider with primary practice located at 60 Physicians Dr , Jackson TN 38305-2070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Kisner, Carson can be contacted via phone (731) 240-1747.Contact Information
Primary practice address
60 Physicians Dr
Jackson TN 38305-2070
Phone: (731) 240-1747
Fax: (731) 240-1755
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 60769 | Tennessee |
Profile Details
NPI number | 1235558537 |
---|---|
LBN Legal business name | Kisner, Carson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 15th, 2014 |
Last updated | Jul 16th, 2020 - about 4 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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