Individual
KERRI A. KISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEMORIAL SQ STE 2200, GREENFIELD, IN 46140-1378
(317) 462-6662
(317) 468-6275
Mailing address
1 MEMORIAL SQ STE 50, GREENFIELD, IN 46140-1357
(317) 468-6270
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD430427
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01083027A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD430427
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02889256
—
NY
01
—
039812
MEDICARE GROUP
PA
05
—
1019360730001
—
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039812
MEDICARE GROUP
PA
01
—
P00424192
RR MEDICARE PIN
PA
Enumeration date
02/19/2007
Last updated
01/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us