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NPI Code Detail

MEDICARE: ADAM JEFFREY KISLING MD

MEDICARE: ADAM JEFFREY KISLING MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician32676NE
2207RC0000XCardiovascular Disease Physician32676NE
3207RC0000XCardiovascular Disease PhysicianW1826TX

General Provider Information

NPI Number : 1184116592
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM JEFFREY KISLING MD
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 816-752-3002
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 816-752-3002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2018
Last Update Date : 01/13/2026

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Directions to “ ADAM JEFFREY KISLING MD” Practice Location

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