MISS Leslie Michelle Kisner, BA

NPI #1891090742 in Oxford, Mississippi

Provider Information

NPI Number: 1891090742
Entity Type: Individual
Name: MISS Leslie Michelle Kisner, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: BA
Enumeration Date: Jan 24, 2011
Last Updated: Jan 24, 2011

Practice Location

Address: 152 HIGHWAY 7 SOUTH
City: Oxford
State: Mississippi
ZIP Code: 38655
Phone: (662) 234-7521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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