Doctor Name: | MS. CONNIE D KISER |
NPI Number: | 1013999762 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | VP004297M |
Business Practice Address: | 1001 S George St 4th Floor York, PA - 174033676 |
Business Phone Number: | 7178514005 |
Business Fax Number: | 7178122495 |
Mailing Address: | 3421 Concord Rd, YORK |
State: | PA |
Postal Code: | 174029001 |
Phone Number: | 7178514005 |
Fax Number: | 7178122495 |
NPI Enumeration Date: | 11/17/2005 |
NPI Last Update Date: | 06/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | VP004297M |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |