Provider Demographics
NPI:1003858069
Name:KISER, KAREN F (NP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:F
Last Name:KISER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:F
Other - Last Name:BLEVINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1201 SNIDER ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-4221
Mailing Address - Country:US
Mailing Address - Phone:276-783-5400
Mailing Address - Fax:276-783-5521
Practice Address - Street 1:1201 SNIDER ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-4221
Practice Address - Country:US
Practice Address - Phone:276-783-5400
Practice Address - Fax:276-783-5521
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166068363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010290821Medicaid
VADB9968OtherRAIL ROAD MEDICARE
VAP01310386OtherRAILROAD MEDICARE
VA1003858069Medicaid
VA1003858069Medicaid
VA010577S42Medicare PIN