Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Lindsey Kiser, APRN

Individual provider Primary Care Nurse Practitioner · NPI 1609230069

Kenneth Lindsey Kiser, APRN is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2015, 11 years ago. Practices with Southwell Ambulatory Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2016
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2922 N Oak St Ste C
Valdosta, GA 31602-1885
Phone: (229) 262-6819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence RN066436 (GA)

Record details

NPI number1609230069
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedApril 11, 2016
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southwell Ambulatory Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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