DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BONNIE BEA KISER

MEDICARE: BONNIE BEA KISER
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
1106H00000XMarriage & Family TherapistLMFT 35001593AIN

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 : 1881603033
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE BEA KISER
Provider Business Mailing Address
First Line : 3948 NEW VISION DR STE D
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1721
Country : US
Telephone Number : 260-407-7285
Fax Number : 260-407-0094
Provider Business Practice Location Address
First Line : 3948 NEW VISION DR STE D
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1721
Country : US
Telephone Number : 260-407-7285
Fax Number : 260-407-0094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 12/09/2009

Similar Medicare Providers

1952409427 — REBECCA SUE BERGHORN LMFT
Practice Location Address:
3948 NEW VISION DR STE D
FORT WAYNE, IN
46845-1721
Practice Phone: 260-407-7285
Practice Fax: 260-407-0094
1790874774 — MRS. CHRISTINA NICOLE STAPLETON MA
Practice Location Address:
3948 NEW VISION DR STE D
FORT WAYNE, IN
46845-1721
Practice Phone: 260-407-7285
Practice Fax: 260-407-0094
1093869133 — MRS. KIM MAXWELL FISH LCSW, LMHC
Practice Location Address:
3948 NEW VISION DR STE D
FORT WAYNE, IN
46845-1721
Practice Phone: 260-407-7285
Practice Fax:
1508013137 — VICTORIA ANNE LIGHTCAP MS, LMFTA
Practice Location Address:
3948 NEW VISION DR STE D
FORT WAYNE, IN
46845-1721
Practice Phone: 260-407-7285
Practice Fax: 260-407-0094
1760997605 — JEAN THORESON SLT-A
Practice Location Address:
3948 NEW VISION DR STE D
FORT WAYNE, IN
46845-1721
Practice Phone: 260-245-1455
Practice Fax: 317-815-3861
1033619341 — SARA CALLAGHAN
Practice Location Address:
3948 NEW VISION DR STE D
FORT WAYNE, IN
46845-1721
Practice Phone: 260-245-1455
Practice Fax: 317-815-3861

Directions to “ BONNIE BEA KISER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.