Kisner, Waltina J

Kisner, Waltina J is an individual health care provider with primary practice located at 3231 S National Ave Ste 440 , Springfield MO 65807-7304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kisner, Waltina J can be contacted via phone (417) 888-5660.

Contact Information

Primary practice address
3231 S National Ave Ste 440 Springfield MO 65807-7304
Phone: (417) 888-5660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 140376 Missouri

Profile Details

NPI number 1225219009
LBN Legal business name Kisner, Waltina J
Credentials MSN, APN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2007
Last updated Apr 18th, 2022 - about 4 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225219009 NPPES
Missouri MEDICAID 1225219009
Missouri Other 431560263
Missouri Other P00826746
Missouri MEDICAID 183029758

Popular Providers