Kisner, Wendell H
Kisner, Wendell H is an sole proprietor health care provider with primary practice located at 7777 Hennessy Blvd , Baton Rouge LA 70808-4300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Kisner, Wendell H can be contacted via phone (225) 765-4454.Contact Information
Primary practice address
7777 Hennessy Blvd
Baton Rouge LA 70808-4300
Phone: (225) 765-4454
Fax: (225) 765-4288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD.010138 | Louisiana |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 010138 | Louisiana |
Profile Details
| NPI number | 1801887500 |
|---|---|
| LBN Legal business name | Kisner, Wendell H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Dec 19th, 2021 - about 3 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 | 1801887500 | NPPES |
| Louisiana | MEDICAID | 1150436 |
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