Individual
KALISSA MADISON BITTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
609 N HIGHLAND ST, GASTONIA, NC 28052-2179
(704) 772-4700
(704) 833-1553
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14519
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8258-5446-1481
NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS
KY
Enumeration date
03/13/2022
Last updated
12/30/2025
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