Knisley, Raymond R

Knisley, Raymond R is an individual health care provider with primary practice located at 1255 State Road 60 E Ste 100 , Lake Wales FL 33853-4310. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Knisley, Raymond R can be contacted via phone (863) 589-5685.

Contact Information

Primary practice address
1255 State Road 60 E Ste 100 Lake Wales FL 33853-4310
Phone: (863) 589-5685
Fax: (863) 589-5639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X OS12508 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS12508 Florida

Profile Details

NPI number 1932189008
LBN Legal business name Knisley, Raymond R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Nov 2nd, 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.

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