Kisner, Jenny
Kisner, Jenny is an individual health care provider with primary practice located at 1508 Brook Ave , Wichita Falls TX 76301-5604. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kisner, Jenny can be contacted via phone (940) 761-2317.Contact Information
Primary practice address
1508 Brook Ave
Wichita Falls TX 76301-5604
Phone: (940) 761-2317
Fax: (940) 761-2992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6311TG | Texas |
Profile Details
| NPI number | 1225016413 |
|---|---|
| LBN Legal business name | Kisner, Jenny |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Mar 25th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225016413 | NPPES |
| Texas | MEDICAID | 1550295-01 | |
| Texas | MEDICAID | 155029505 |
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