| Connie Kiser, LPCA | |
|
520 Violet Road, Crittenden, KY 41030 | |
| (859) 428-4100 | |
| (859) 428-2134 |
| Full Name | Connie Kiser |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 520 Violet Road, Crittenden, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205059045 | NPI | - | NPPES |
| 184607 | Other | KY | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0535 (Kentucky) | Primary |
| Entity Name | Northern Kentucky Mental Health Mental Retardation Regional Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578527610 PECOS PAC ID: 3870584683 Enrollment ID: O20040520000973 |
| Mailing Address | Practice Location Address |
|---|---|
| Connie Kiser, LPCA 520 Violet Road, Crittenden, KY 41030 Ph: (859) 428-4100 | Connie Kiser, LPCA 520 Violet Road, Crittenden, KY 41030 Ph: (859) 428-4100 |
Mary Milner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Violet Rd, Crittenden, KY 41030 Phone: 859-428-4100 | |
Christine Hearth, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Violet Rd, Crittenden, KY 41030 Phone: 859-428-4100 | |
Miran H. Mcclendon, LCADC, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 405 Violet Rd, Crittenden, KY 41030 Phone: 859-301-5901 Fax: 859-301-5940 |