Individual provider · Type 1 NPI

Brenda Kissick

Driver · Pueblo, CO

NPI number 1104396944 Active

Practice location

41 Montebello Rd Ste LL1
Pueblo, CO 81001-1379

Call (719) 545-2746 Map

Fax (719) 542-9638

Mailing address

41 Montebello Rd Ste 202
Pueblo, CO 81001-1366

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1104396944

Brenda Kissick's National Provider Identifier is 1104396944, issued on Dec 4, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Pueblo, CO. The record was last updated on Dec 4, 2018.