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

Kristofer Kisner

Individual provider Other Specialist/Technologist · NPI 1477844116

Kristofer Kisner is an Other Specialist/Technologist in Lake Elsinore, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

119 W Sulphur St Ste B-2
Lake Elsinore, CA 92530-3703
Phone: (951) 454-2673
Fax: (951) 344-1749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X (CA)

Record details

NPI number1477844116
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 28, 2011
Last updated in NPPESMay 18, 2015
Mailing address119 W Sulphur St, Ste. B-2, Lake Elsinore, CA 92530-3703