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Individual

KAREN P KISSENBERTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1020 GROVE ROAD, GREENVILLE, SC 29605
(864) 455-2319
Mailing address
103 N MAIN ST, STE 300, GREENVILLE, SC 29601-2796
(864) 528-5700
(864) 528-5701

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1521
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TH0128
SC
Enumeration date
04/30/2007
Last updated
11/12/2012
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