Individual provider · Type 1 NPI

Edward Ryan Kissam, AG-ACNP

Acute Care Nurse Practitioner · Fort Sam Houston, TX

NPI number 1194400473 Active

Practice location

3551 Roger Brooke Dr Bldg 3600
Fort Sam Houston, TX 78234-4504

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X1106762 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1194400473

Edward Ryan Kissam, AG-ACNP's National Provider Identifier is 1194400473, issued on Jun 15, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jun 15, 2023.