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
Fax: (731) 240-1755
Website:

Health care specialties

SpecialtyCodeLicense #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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