Individual provider · Type 1 NPI
Laurent Narcisse Kissou
Gerontology Nurse Practitioner · Ardmore, PA
NPI number
1013851211
Active
Practice location
2209 Olcott Ave
Ardmore, PA 19003-2920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | SP035790 (PA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1013851211
Laurent Narcisse Kissou's National Provider Identifier is 1013851211, issued on Apr 17, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Ardmore, PA. The record was last updated on Apr 17, 2026.