Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 35517 | OK |
NPI | 1144751165 |
---|---|
Provider Name | Ryan Kiser |
First Address | Albuquerque, NM 87106-4374 |
Second Address | Oklahoma City, OK 73104-4637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2017 |
Last Update Date | 18/05/2020 |