Individual
CHASE ALAN KISSLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 CASS ST, MONTEREY, CA 93940-4515
(831) 275-4050
Mailing address
3585 REDWOOD ST, SAN DIEGO, CA 92104-4847
(817) 454-3110
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A173328
CA
Other
Enumeration date
06/10/2011
Last updated
07/18/2024
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