David F Kisor, B.S., PHARM.D.
Individual provider Active NPI Pharmacist · Bluffton, OH
NPI 1194056259 · NPPES record last updated Jan 28, 2010
Key facts
- NPI
- 1194056259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03215612-2 (OH)
- Practice address
- 64 Anna Cir
Bluffton, OH 45817-1447 - Phone
- (419) 358-0085
- NPI assigned
- Jan 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03215612-2 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03215612-2 | OH | Yes |
Addresses
Primary practice location
64 Anna Cir
Bluffton, OH 45817-1447
Mailing address
64 Anna Cir
Bluffton, OH 45817-1447
Phone (419) 358-0085
Other providers in Bluffton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.