Individual
DANIELLE KIGGINS SISUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1387
(541) 963-8421
Mailing address
900 SUNSET DR, LA GRANDE, OR 97850-1387
(541) 963-8421
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A110532
CA
207P00000X
Emergency Medicine Physician
DR.0054868
CO
207P00000X
Emergency Medicine Physician
Primary
M-13396
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24776254
—
CO
Enumeration date
05/19/2008
Last updated
05/01/2026
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