# DR. MICHELLE LYNN CORDOBA KISSEE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831381458
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 41885 | AZ | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | P7092 | TX | Yes |

## Other

- **Enumeration date:** 08/16/2007
- **Last updated:** 03/28/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 333675205 | — | TX |
| 01 | — | 333675206 | MEDICAID-CSHCN | TX |
| 05 | — | 468517 | — | AZ |