Dr. Yanna T Kisala
Optometrist
203a E Sunset Dr
Waukesha
, Wisconsin 53189-7603
Dr. Yanna T Kisala
Optometrist
203a E Sunset Dr
Waukesha
, Wisconsin 53189-7603
(262) 524-1130
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Yanna T Kisala
- 203a E Sunset Dr
- Waukesha, WI
- Zip : 53189-7603
- Phone : (262) 524-1130
Second Address
- Dr. Yanna T Kisala
- 203a E Sunset Dr
- Waukesha, WI
- Zip : 53189-7603
- Phone : (262) 524-1130
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3137-035 | WI |
National Provider Identifier
| NPI | 1013164292 |
|---|---|
| Provider Name | Dr. Yanna T Kisala |
| First Address | Waukesha, WI 53189-7603 |
| Second Address | Waukesha, WI 53189-7603 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2008 |
| Last Update Date | 13/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.