Kish Pain and Performance Solutions

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1580 Issued in MN

Legal business name

KISH PAIN AND PERFORMANCE SOLUTIONS

Practice address

1103 4TH Ave SE
Rochester, MN 55904-7470

Phone

(507) 261-5439

NPI assigned

Feb 2, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Philip Dane Kish, L.AC. M.AC. DIPL. AC

Title

Acuupncturist

Phone

(507) 261-5439

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1881052017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 4TH AVE SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559047470",
            "telephone_number": "507-261-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 4TH AVE SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559047470",
            "telephone_number": "507-261-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISH PAIN AND PERFORMANCE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "KISH",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "DANE",
        "authorized_official_title_or_position": "ACUUPNCTURIST",
        "authorized_official_telephone_number": "507-261-5439",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC. M.AC. DIPL. AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janae Lara Kirsch, PHD LP
• Kristin Marie Kirsch, M.D.
• Matthew Joseph Kirsch, M.D.
• Nancy Ann Kirscht, NP
• Laura Elizabeth Kiser, LICSW
• Chanchrisna Kish, DNP
• Philip Kish, D.AC
• Sarah Kisha
• John B Kisiel, M.D.
• Saul Sandford Kissin, APRN, CNP

• Acupuncturist in Rochester, MN
• Providers in Rochester, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.