Kissenberth, Michael John

Kissenberth, Michael John is an individual health care provider with primary practice located at 200 Patewood Dr Ste C100 , Greenville SC 29615-6322. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kissenberth, Michael John can be contacted via phone (864) 454-7422.

Contact Information

Primary practice address
200 Patewood Dr Ste C100 Greenville SC 29615-6322
Phone: (864) 454-7422
Fax: (864) 454-8265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 27259 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 27259 South Carolina

Profile Details

NPI number 1184670994
LBN Legal business name Kissenberth, Michael John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated May 6th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184670994 NPPES
South Carolina Other 7359182 CIGNA
South Carolina MEDICAID 272591 CIGNA
South Carolina Other 576007863133 CIGNA
South Carolina Other 7422707 CIGNA
South Carolina Other P00271214 CIGNA
South Carolina Other 576007863158 CIGNA

Popular Providers