Individual provider · Type 1 NPI

Kenneth Richard Nissim, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Rockford, IL

NPI number 1447246392 Active

Practice location

1253 N Alpine Rd
Rockford, IL 61107-2201

Call (779) 696-9201 Map

Fax (815) 397-9667

Mailing address

1120 NW 14th St, 5th Floor
Miami, FL 33136-2107

Other practice locations

  • 8932 SW 97th Ave, Miami, FL 33176-1936 · (305) 270-3740

Specialties and licenses

TaxonomyCodeLicense
Sleep Medicine (Otolaryngology) Physician 207YS0012XME85561 (FL)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary 207YX0007X036170811 (IL)
Otolaryngology Physician 207Y00000XME85561 (FL)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeri…

24 other providers at this address

Other plastic surgery within the head & neck (otolaryngology) physician providers in Rockford

See all in Rockford →

About NPI 1447246392

Kenneth Richard Nissim, MD's National Provider Identifier is 1447246392, issued on Sep 26, 2005. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Rockford, IL. The record was last updated on Dec 11, 2024.