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Individual

DAVID J KISSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6200 PFEIFFER RD, FL 3, CINCINNATI, OH 45242-5862
(513) 985-6793
(513) 965-8091
Mailing address
PO BOX 42461, CINCINNATI, OH 45242-0461
(513) 965-8041
(513) 965-8091

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35050538K
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0584765
OH
05
64934755
KY
Enumeration date
06/09/2005
Last updated
02/25/2008
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