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Contact Information

JOHN C KISH, PA
35 FACILITY DRIVE
MEDWEST
CLYDE, NC28721
 Phone: 828-452-5042
 Fax: 828-452-9225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOHN C KISH · (Male)

NPI Number 1013910843
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/24/2005
Last updated 04/19/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 103183
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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