Individual
DR. HALEY MARIE MCKISSACK
Active
Individual
DR. HALEY MARIE MCKISSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
DR.0074792
CO
207X00000X
Orthopaedic Surgery Physician
DR.0074792
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
DR.0074792
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
DR.0074792
NC
Other
Enumeration date
04/12/2020
Last updated
08/10/2026
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