Mrs Carolyn D Kissiar, CNP | |
37 Rustic Campus Drive, Southern Seven Health Department, Ullin, IL 62992-2226 | |
(618) 634-2297 | |
(618) 634-9011 |
Full Name | Mrs Carolyn D Kissiar |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology - Gynecology |
Location | 37 Rustic Campus Drive, Ullin, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861716532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041244469 (Illinois) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 209001132 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Carolyn D Kissiar, CNP 37 Rustic Campus Drive, Ullin, IL 62992-2226 Ph: (618) 634-2297 | Mrs Carolyn D Kissiar, CNP 37 Rustic Campus Drive, Southern Seven Health Department, Ullin, IL 62992-2226 Ph: (618) 634-2297 |