Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENISHA AKEILA NISBETT, D.O.
ActiveKENISHA AKEILA NISBETT, D.O. is a 2083A0300X healthcare provider located in LOS ANGELES, California. NPI 1316471527 is currently active in the NPPES registry. Verify at CMS.
2083A0300X · LOS ANGELES, CA
Registration Details
- NPI Number
- 1316471527
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2017 (9.353649786869 yrs)
- Last Updated
- May 20, 2024
- Licenses
-
20A17194 (CA)17194 (CA)
Practice Information
- Address
-
1513 S GRAND AVE STE 200LOS ANGELES, CA, 900153075Browse CA providers · Browse ZIP 90015
- Phone
- 3234380483
- Fax
- 3108626817
- Primary Specialty
-
2083A0300X
2083A0300X
- Additional Specialty
- 2083A0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.