Kissel, Abigail Marion
Kissel, Abigail Marion is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Academics, Ste 2D, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Kissel, Abigail Marion can be contacted via phone (314) 454-6300.Contact Information
Primary practice address
1 Childrens Pl Div Ped Academics, Ste 2D
Saint Louis MO 63110-1002
Phone: (314) 454-6300
Fax: (833) 969-0138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 2022017930 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2022017930 | Missouri |
Profile Details
| NPI number | 1508181066 |
|---|---|
| LBN Legal business name | Kissel, Abigail Marion |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2010 |
| Last updated | Apr 25th, 2024 - about 7 months 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 | 1508181066 | NPPES |
| Missouri | MEDICAID | 200110878 |
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