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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 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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