Individual
DR. ROBERT C KISSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6063 NEHRT RD, BLOOMINGTON, IN 47408-9107
(812) 336-2907
Mailing address
6063 NEHRT RD, BLOOMINGTON, IN 47408-9107
(812) 336-2907
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040143A
IN
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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