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NPI Code Detail

MEDICARE: RICHARD N KISHNER MD

MEDICARE: RICHARD N KISHNER 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
12084N0400XNeurology PhysicianME40571FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265406029
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD N KISHNER MD
Provider Business Mailing Address
First Line : 2021 E COMMERCIAL BLVD
Second Line : SUITE 201
City : FT LAUDERDALE
State : FL
Zip : 33308-3763
Country : US
Telephone Number : 954-928-0611
Fax Number : 866-854-1909
Provider Business Practice Location Address
First Line : 2021 E COMMERCIAL BLVD
Second Line : SUITE 201
City : FORT LAUDERDALE
State : FL
Zip : 33308-3763
Country : US
Telephone Number : 954-928-0611
Fax Number : 866-854-1909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 09/16/2009

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Directions to “ RICHARD N KISHNER MD” Practice Location

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