Jenny M Kisner
JENNY M. KISNER OD LLC


Address: 1508 Brook Ave, Wichita Falls, TX 76301-5604
Phone: 9407612317

Jenny M Kisner (NPI# 1225016413, PAC ID# 9830276534) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.

Physician Overview

Nation Provider ID (NPI) 1225016413
PAC ID by PECOS 9830276534
Professional Enrollment ID I20090513000215
Full Name Jenny M Kisner
Organization Legal Name JENNY M. KISNER OD LLC
Address 1508 Brook Ave
Wichita Falls
TX 76301-5604
Phone Number 9407612317
Gender F
Medical School INTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY
Graduation Year 2002
Primary Specialty OPTOMETRY
Group Practice PAC ID 6406996032
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1508 Brook Ave, Wichita Falls, TX 76301-5604 9407612317 JENNY M. KISNER OD LLC

Organization Information

Organization Legal Name JENNY M. KISNER OD LLC
Physicians 1

Office Location

Street Address 1508 BROOK AVE
City WICHITA FALLS
State TX
Zip 76301-5604

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Competitor

Search similar physicians

City WICHITA FALLS
Zip Code 76301
Specialty OPTOMETRY
City + Specialty WICHITA FALLS + OPTOMETRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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