Kissell, Kerri A.

Kissell, Kerri A. is an individual health care provider with primary practice located at 1 Memorial Sq Ste 2200 , Greenfield IN 46140-1378. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Kissell, Kerri A. can be contacted via phone (317) 462-6662.

Contact Information

Primary practice address
1 Memorial Sq Ste 2200 Greenfield IN 46140-1378
Phone: (317) 462-6662
Fax: (317) 468-6275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD430427 Pennsylvania
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD430427 Pennsylvania

Profile Details

NPI number 1043354483
LBN Legal business name Kissell, Kerri A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Jan 24th, 2020 - about 5 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 1043354483 NPPES
Pennsylvania Other 039812 MEDICARE GROUP
Pennsylvania Other CC9269 MEDICARE GROUP
Pennsylvania MEDICAID 02889256 MEDICARE GROUP
Pennsylvania Other GU039812 MEDICARE GROUP
Pennsylvania MEDICAID 1019360730001 MEDICARE GROUP
Pennsylvania Other P00424192 MEDICARE GROUP

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