1003286709 NPI number — SHANE TRAVIS KISER PA-C

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003286709 NPI number — SHANE TRAVIS KISER PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KISER
Provider First Name:
SHANE
Provider Middle Name:
TRAVIS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003286709
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
250 KISER CEM RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OLIVE HILL
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41164-9809
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-780-5500
Provider Business Mailing Address Fax Number:
606-783-7281

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
250 KISER CEM RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLIVE HILL
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41164-9809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-780-5500
Provider Business Practice Location Address Fax Number:
606-783-7281
Provider Enumeration Date:
10/07/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  PA2034 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7100394790 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: PA2034 . This is a "KY MEDICAL LICENSE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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