Kiskaddon, Karrie L.

Kiskaddon, Karrie L. is an individual health care provider with primary practice located at 100 Meadow Ln Suite 4, Du Bois PA 15801-2460. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kiskaddon, Karrie L. can be contacted via phone (814) 371-3730.

Contact Information

Primary practice address
100 Meadow Ln Suite 4 Du Bois PA 15801-2460
Fax: (814) 371-9335
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MT187193 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD434624 Pennsylvania

Profile Details

NPI number 1255549796
LBN Legal business name Kiskaddon, Karrie L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Oct 6th, 2015 - about 9 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 1255549796 NPPES
Pennsylvania MEDICAID 102087381

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