Emily Marie Kisor
M.D. | Pediatrics | Female
Emily Marie Kisor, M.D. is a Elkhart, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Emily Marie Kisor is
1627 E Bristol St, Elkhart, Indiana - 46514-3817. She can be contacted on phone at
574-262-0313.
Emily Marie Kisor is a sole proprietor of her business.
NPI number (Unique professional ID) for Emily Marie Kisor is
1659614964 which was assigned by NPPES on 04 Apr, 2013 and it was last updated on 30 Mar, 2021.
Emily Marie Kisor license number is
01076081 for Pediatrics (208000000X) in Indiana.
Emily Marie Kisor is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Emily Marie Kisor basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Emily Marie Kisor |
|---|
| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Emily Marie Kisor address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1627 E Bristol St
Elkhart, IN, 46514-3817
United States |
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| Phone Number : | 574-262-0313 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1659614964 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Apr, 2013 |
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| Last Updated On : | 30 Mar, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Emily Marie Kisor are as mentioned. Primary taxonomy code for Emily Marie Kisor, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 01076081 | IN |
Legacy Identifiers:
Other legacy medical identifiers of Emily Marie Kisor such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 201354790 | MEDICAID | IN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
2120 RIETH BLVD STE 200,
GOSHEN, IN, 46526-5867
United States | GOSHEN, IN | 574-262-0313 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | ekisor@mybeacon.cernerdirect.com
| No affiliation |
|
| 1627 E BRISTOL ST,
ELKHART, IN, 46514-3817
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 710 N Niles Ave
South Bend, IN, 46617-1924
United States |
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| Phone Number : | 574-647-1610 |
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Business Location:
Patients can refer following map for directions to
Emily Marie Kisor practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.