Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 2010-01517 | NC |
Y | 208600000X | Surgeon | 2010-01517 | NC |
N | 2086S0120X | Pediatric Surgery | 2010-01517 | NC |
NPI | 1376744805 |
---|---|
Provider Name | Michelle Kiser |
First Address | Charlotte, NC 28260-2373 |
Second Address | Asheville, NC 28803-1700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 08/02/2022 |