Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTOFER KISNER
Active Sole ProprietorKRISTOFER KISNER is a Specialist/Technologist, Surgical healthcare provider located in LAKE ELSINORE, California. NPI 1477844116 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · LAKE ELSINORE, CA
Registration Details
- NPI Number
- 1477844116
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2011 (15.32785027784 yrs)
- Last Updated
- May 18, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
119 W SULPHUR STSTE. B-2LAKE ELSINORE, CA, 925303703Browse CA providers · Browse ZIP 92530
- Phone
- 9514542673
- Fax
- 9513441749
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
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.