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1003286709
SHANE TRAVIS KISER
MOREHEAD, KY
NPI
1003286709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA2034)
Enumeration Date
2015-10-07
Last Update Date
2019-07-31
Business Address
SHANE TRAVIS KISER PA-C
245 FLEMINGSBURG RD
MOREHEAD, KY 40351-1015
Phone number: 606-780-5500
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Mailing Address
SHANE TRAVIS KISER PA-C
245 FLEMINGSBURG RD
MOREHEAD, KY 40351-1015
Phone number: 606-780-5500
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