Provider Demographics
NPI:1043470123
Name:KISH, MARIA (DC,)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:KISH
Suffix:
Gender:F
Credentials:DC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 CALIFORNIA ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-4301
Mailing Address - Country:US
Mailing Address - Phone:415-627-9077
Mailing Address - Fax:
Practice Address - Street 1:230 CALIFORNIA ST
Practice Address - Street 2:SUITE 600
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-4301
Practice Address - Country:US
Practice Address - Phone:415-627-9077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30086111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor