Kissell, Laura C

Kissell, Laura C is an individual health care provider with primary practice located at 1400 E Boulder St Ste 600 , Colorado Springs CO 80909-5533. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Kissell, Laura C can be contacted via phone (719) 364-6487.

Contact Information

Primary practice address
1400 E Boulder St Ste 600 Colorado Springs CO 80909-5533
Phone: (719) 364-6487
Fax: (719) 364-8347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 44538 Colorado
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 200400694 North Carolina

Profile Details

NPI number 1730130337
LBN Legal business name Kissell, Laura C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 10th, 2020 - about 6 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 1730130337 NPPES
Colorado Other COA109844 MEDICARE INDIVIDUAL PTAN
Colorado Other 200400694 MEDICARE INDIVIDUAL PTAN
Colorado Other 44538 MEDICARE INDIVIDUAL PTAN
Colorado Other 805636 MEDICARE INDIVIDUAL PTAN

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