DR. KENNETH JON KYSOR DPM NPI 1073072112

NPI Information

NPI: 1073072112
Provider Name: DR. KENNETH JON KYSOR, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
5541 HIGHWAY 1
MARKSVILLE, LA
ZIP 71351
Phone: (318) 240-7240
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DR. Kenneth Jon Kysor, DPM is a foot and ankle surgery podiatrist in Marksville, LA with 5 years of experience. DR. Kenneth Jon Kysor, DPM NPI is 1073072112. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2019

The provider's business location address is:

5541 HIGHWAY 1
MARKSVILLE, LA
ZIP 71351-650
Phone: (318) 240-7240

The NPI 1073072112 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/18/2019 and was last updated on 4/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	330032	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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