SearchMissouri122300000X

Kyle Lisenby, D.M.D

NPI 1629248414 · on the registry since 2008

Practice

Address
303 N Keene St
Suite 208
Columbia, MO 65201
Phone
(573) 571-2222
Fax
(573) 817-2888
Organisation at this address
Labone Llc
Susie Early Md Pc
Compass Health, Inc
Flow'S Pharmacy, Inc
Tiger Pediatrics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
59

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri