Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 0024166068 | VA |
NPI | 1003858069 |
---|---|
Provider Name | Mrs. Karen F Kiser |
First Address | Marion, VA 24354-4221 |
Second Address | Marion, VA 24354-4221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 15/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010290821 | (05) | VA |
1003858069 | (05) | VA |
DB9968 | RAIL ROAD MEDICARE (01) | VA |
P01310386 | RAILROAD MEDICARE (01) | VA |