Provider Demographics
NPI:1306988613
Name:KISER, LINDA L (MA, CCC-A, FAAA)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:KISER
Suffix:
Gender:F
Credentials:MA, CCC-A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 WADSWORTH BLVD
Mailing Address - Street 2:SUITE 290
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4643
Mailing Address - Country:US
Mailing Address - Phone:303-425-3344
Mailing Address - Fax:303-425-7549
Practice Address - Street 1:4045 WADSWORTH BLVD
Practice Address - Street 2:SUITE 290
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4643
Practice Address - Country:US
Practice Address - Phone:303-425-3344
Practice Address - Fax:303-425-7549
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO62231H00000X, 231HA2400X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO667690OtherANTHEM BCBS PROVIDER #
CO667690OtherANTHEM BCBS PROVIDER #