Individual provider · Type 1 NPI
Carolyn D. Kissiar, CNP
Gynecology Physician · Ullin, IL
NPI number
1861716532
Active
Practice location
37 Rustic Campus Drive, Southern Seven Health Department
Ullin, IL 62992-2226
Fax (618) 634-9011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041244469 (IL) |
| Gynecology Physician Primary | 207VG0400X | 209001132 (IL) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
About NPI 1861716532
Carolyn D. Kissiar, CNP's National Provider Identifier is 1861716532, issued on Mar 24, 2010. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Ullin, IL. The record was last updated on Mar 24, 2010.