Individual provider · Type 1 NPI
Kevin Kissane, ACNP-BC
Acute Care Nurse Practitioner · Chicago, IL
NPI number
1679933527
Active
Practice location
1653 W Congress Pkwy
Chicago, IL 60612-3833
Fax (312) 942-8021
Mailing address
3654 S Union Ave
Chicago, IL 60609-1647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209-002655 (IL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1679933527
Kevin Kissane, ACNP-BC's National Provider Identifier is 1679933527, issued on Mar 3, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Chicago, IL. The record was last updated on Mar 3, 2016.