Kissam, Barbara Elizabeth
Kissam, Barbara Elizabeth is an individual health care provider with primary practice located at 1900 Randolph Rd Suite 1010, Charlotte NC 28207-1122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Kissam, Barbara Elizabeth can be contacted via phone (704) 316-1155.Contact Information
Primary practice address
1900 Randolph Rd Suite 1010
Charlotte NC 28207-1122
Phone: (704) 316-1155
Fax: (704) 316-1160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 2006-01118 | North Carolina |
Profile Details
| NPI number | 1881689362 |
|---|---|
| LBN Legal business name | Kissam, Barbara Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Mar 15th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881689362 | NPPES |
| Wisconsin | MEDICAID | 32568300 |
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