Provider Demographics
NPI:1437419827
Name:KISER, GARI MICHELLE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:GARI
Middle Name:MICHELLE
Last Name:KISER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 SPANGLER DRIVE
Mailing Address - Street 2:KENTUCKY RIVER FOOTHILLS DEVELOPMENTAL COUNCIL
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475
Mailing Address - Country:US
Mailing Address - Phone:606-663-9011
Mailing Address - Fax:606-663-9012
Practice Address - Street 1:108 12TH ST
Practice Address - Street 2:
Practice Address - City:CLAY CITY
Practice Address - State:KY
Practice Address - Zip Code:40312-8979
Practice Address - Country:US
Practice Address - Phone:606-663-9011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-21
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007406363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health