Kiessel, Christa

Kiessel, Christa is an individual health care provider with primary practice located at 217 S Madison Street , Traverse City MI 49684-2320. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kiessel, Christa can be contacted via phone (231) 392-8400.

Contact Information

Primary practice address
217 S Madison Street Traverse City MI 49684-2320
Phone: (231) 392-8400
Fax: (231) 935-7888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704192243 Michigan

Profile Details

NPI number 1467418392
LBN Legal business name Kiessel, Christa
Credentials MSN, RN, CS, AOCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467418392 NPPES
Michigan MEDICAID 4952443

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