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MICHAEL L. KISNER D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1588650444
Individual Registrant: MICHAEL L. KISNER D.C.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
24 E ARMUCHEE RD LA FAYETTE, GA 30728-5506 US
Tel: 706-397-2804 Fax: 706-397-2808
Tel: 706-397-2804 Fax: 706-397-2808
Contact information for business:
24 E ARMUCHEE RD LA FAYETTE, GA 30728-5506 US
Tel: 706-397-2804 Fax: 706-397-2808
Tel: 706-397-2804 Fax: 706-397-2808
Registration Information:
NPI: 1588650444
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | GA | CHIR008473 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
