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Individual

MISS KAYLA KISSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
476 ROLLING RIDGE DR STE 101, STATE COLLEGE, PA 16801-7639
(814) 689-4980
(814) 689-4990
Mailing address
PO BOX 858, MC CA410, HERSHEY, PA 17033-0858
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN752642
PA
363LF0000X
Family Nurse Practitioner
Primary
SP030448
PA

Other

Enumeration date
08/20/2024
Last updated
08/29/2025
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