Provider Demographics
NPI:1780872234
Name:KISER, STEPHANIE NORRIS (RPH)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:NORRIS
Last Name:KISER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 BILTMORE AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4565
Mailing Address - Country:US
Mailing Address - Phone:828-213-4641
Mailing Address - Fax:828-213-4647
Practice Address - Street 1:445 BILTMORE AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4565
Practice Address - Country:US
Practice Address - Phone:828-213-4641
Practice Address - Fax:828-213-4647
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11813183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist