Individual provider · Type 1 NPI
Cortney Kissel
Gerontology Nurse Practitioner · St. Louis, MO
NPI number
1780384271
Active
Practice location
9735 Landmark Parkway Dr Ste 201
St. Louis, MO 63127-1666
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AG02230087 (MO) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1780384271
Cortney Kissel's National Provider Identifier is 1780384271, issued on Mar 6, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis, MO. The record was last updated on May 5, 2023.