TANA JOY KISH

CROWN POINT, IN
NPI1275311607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71014531A)
Enumeration Date2023-09-18
Last Update Date2023-12-01
Business Address
TANA JOY KISH FNP-C
11161 RANDOLPH ST
CROWN POINT, IN 46307-8564
Phone number: 219-662-9424
Mailing Address
TANA JOY KISH FNP-C
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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