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NPI Code Detail

MEDICARE: DR. AMELIA R KISER MD

MEDICARE: DR. AMELIA R KISER 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
1207QH0002XHospice and Palliative Medicine (Family Medicine) Physician33250KY
2207Q00000XFamily Medicine Physician33250KY

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 : 1982605465
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMELIA R KISER MD
Provider Business Mailing Address
First Line : 1301 N RACE ST
Second Line :
City : GLASGOW
State : KY
Zip : 42141-3454
Country : US
Telephone Number : 270-651-4444
Fax Number : 270-651-4892
Provider Business Practice Location Address
First Line : 1301 N RACE ST
Second Line :
City : GLASGOW
State : KY
Zip : 42141-3454
Country : US
Telephone Number : 270-651-4325
Fax Number : 270-651-4672
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 03/02/2023

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Directions to “ DR. AMELIA R KISER MD” Practice Location

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