Provider Demographics
NPI:1912436791
Name:KISER, BRITTANY LYNETTE (DO)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LYNETTE
Last Name:KISER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:BRITTANY
Other - Middle Name:LYNETTE
Other - Last Name:KISER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:305 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-1578
Mailing Address - Country:US
Mailing Address - Phone:740-532-3534
Mailing Address - Fax:
Practice Address - Street 1:115 N 3RD ST
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-1471
Practice Address - Country:US
Practice Address - Phone:740-302-1777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH34014624207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program