| Doctor Name: | MS. PATRICIA L. KISH |
| NPI Number: | 1053505446 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | COF, CFM, CFTS |
| License Number: | |
| Business Practice Address: | 726 S Scales St Reidsville, NC - 273205330 |
| Business Phone Number: | 3363420071 |
| Business Fax Number: | 3363427660 |
| Mailing Address: | 726 S Scales St, REIDSVILLE |
| State: | NC |
| Postal Code: | 273205330 |
| Phone Number: | 3363420071 |
| Fax Number: | 3363427660 |
| NPI Enumeration Date: | 08/29/2007 |
| NPI Last Update Date: | 08/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Orthotic Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |