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Kristofer Kisner
Other Specialist/Technologist in Lake Elsinore, California
NPI 1477844116

Kristofer Kisner is a Other Specialist/Technologist based in Lake Elsinore, CA. Kristofer Kisner practices in Lake Elsinore, CA. The NPI Number for Kristofer Kisner is 1477844116 and holds a License No. (California).

The current practice location address for Kristofer Kisner is 119 W Sulphur St, Lake Elsinore, CA and can be reached out via phone at 951-454-2673 and via fax at 951-344-1749.

Location: 119 W Sulphur St, Lake Elsinore, CA, 92530-3703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477844116
Provider Name
Kristofer Kisner
Credential
Provider Entity Type
Individual
Gender
Male
Address
119 W Sulphur St, Lake Elsinore, CA, 92530-3703
Phone Number
951-454-2673
Fax Number
951-344-1749
Provider Enumeration Date
04/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201418017 01 CA WORKCOMP
institution
Provider Business Practice Location Address Details
Address
119 W Sulphur St
City
Lake Elsinore
State
California
Zip
92530-3703
Phone Number
951-454-2673
Fax Number
951-344-1749
person
Provider Business Mailing Address Details
Address
119 W Sulphur St
City
Lake Elsinore
State
California
Zip
92530-3703
Phone Number
951-454-2673
Fax Number
951-344-1749
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
(California)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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