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NPI Code Detail

MEDICARE: BRAITH KISER DO

MEDICARE: BRAITH KISER DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1316889405
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRAITH KISER DO
Provider Business Mailing Address
First Line : 4542 HAMMOCKS DR APT 102
Second Line :
City : ERIE
State : PA
Zip : 16506-7517
Country : US
Telephone Number : 724-344-6903
Fax Number :
Provider Business Practice Location Address
First Line : 320 E NORTH AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number : 412-359-4971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ BRAITH KISER DO” Practice Location

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