| Doctor Name: | BENJAMIN LUKE KISER |
| NPI Number: | 1417188285 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | 47901 |
| Business Practice Address: | 911 Bypass Rd Pikeville, KY - 415011689 |
| Business Phone Number: | 6062183500 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2917, PIKEVILLE |
| State: | KY |
| Postal Code: | 415022917 |
| Phone Number: | 6062183500 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2009 |
| NPI Last Update Date: | 07/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 47901 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |