KENNETH JOHN RISINGER

BRANDON, MS
NPI1053140103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  906843)
Enumeration Date2024-07-29
Last Update Date2024-08-12
Business Address
KENNETH JOHN RISINGER PMHNP
411 E GOVERNMENT ST
BRANDON, MS 39042-3255
Phone number: 903-824-8880
Mailing Address
KENNETH JOHN RISINGER PMHNP
411 E GOVERNMENT ST
BRANDON, MS 39042-3255
Phone number: 903-824-8880
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