Individual
STEVE A KISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1148 INDIANAPOLIS RD, GREENCASTLE, IN 46135
(765) 653-4003
(765) 653-8930
Mailing address
PO BOX 604, GREENCASTLE, IN 46135
(765) 653-4003
(765) 653-8930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01035097
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211070A
—
IN
Enumeration date
09/28/2006
Last updated
12/18/2009
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