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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801887500 NPPES
Louisiana MEDICAID 1150436

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