KENISHA AKEILA NISBETT D.O.
Individual Provider (NPI-1)
Active
Preventive Medicine, Addiction Medicine
Provider Information
- NPI Number
1316471527- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 1513 S GRAND AVE STE 200, LOS ANGELES, CA, 900153075
- Phone
- (323) 438-0483
- Fax
- (310) 862-6817
Specialties & Taxonomies
Internal Medicine
License: CA #20A17194
Preventive Medicine, Addiction Medicine
Primary License: CA #17194
All Addresses
MAILING
122 S GREEN ST STE 5
TEHACHAPI, CA, 935611717