Provider Demographics
NPI:1235307620
Name:KISER, YULAUNDA R (RN)
Entity Type:Individual
Prefix:
First Name:YULAUNDA
Middle Name:R
Last Name:KISER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3251 BLUE SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:OH
Mailing Address - Zip Code:45050-2532
Mailing Address - Country:US
Mailing Address - Phone:513-360-0178
Mailing Address - Fax:
Practice Address - Street 1:3251 BLUE SPRINGS DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:OH
Practice Address - Zip Code:45050-2532
Practice Address - Country:US
Practice Address - Phone:513-360-0178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN283374163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse