Individual
SPENCER KISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1284 STATE ROUTE 160, GALLIPOLIS, OH 45631
(912) 409-8533
Mailing address
1401 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 421-1785
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN88700-PMHNP-BC
WV
Other
Enumeration date
09/06/2018
Last updated
04/19/2021
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