Individual provider · Type 1 NPI
Kristofer Kisner
Other Specialist/Technologist · Lake Elsinore, CA
NPI number
1477844116
Active
Practice location
119 W Sulphur St, Ste. B-2
Lake Elsinore, CA 92530-3703
Fax (951) 344-1749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | None listed |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
About NPI 1477844116
Kristofer Kisner's National Provider Identifier is 1477844116, issued on Apr 28, 2011. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Lake Elsinore, CA. The record was last updated on May 18, 2015.