Dr Henry Kiser Llc | |
2525 Viking Dr Bossier City LA 71111-2103 | |
(318) 841-2525 | |
(318) 425-8438 |
Full Name | Dr Henry Kiser Llc |
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Speciality | Internal Medicine |
Location | 2525 Viking Dr, Bossier City, Louisiana |
Authorized Official Name and Position | Henry J Kiser (OWNER) |
Authorized Official Contact | 3184261094 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Henry Kiser Llc Po Box 1684 Shreveport LA 71165-1684 Ph: (318) 424-4008 | Dr Henry Kiser Llc 2525 Viking Dr Bossier City LA 71111-2103 Ph: (318) 841-2525 |
NPI Number | 1396138756 |
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Provider Enumeration Date | 03/10/2015 |
Last Update Date | 03/12/2015 |
Medicare PECOS PAC ID | 9739409848 |
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Medicare Enrollment ID | O20150513000557 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396138756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 22656 (Louisiana) | Primary |
Provider Name | Henry J Kiser |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841235488 PECOS PAC ID: 6002887809 Enrollment ID: I20040804001359 |
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Abaka Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4438 Viking Dr, Bossier City, LA 71111 Phone: 318-918-0015 Fax: 318-963-0015 | |
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