Individual
MR. SHAWN FREDERICK KISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
455 3RD ST APT 2, BEAVER, PA 15009-2266
(724) 774-8729
(878) 201-3089
Mailing address
320 COLLEGE AVE, BEAVER, PA 15009-2283
(724) 774-8729
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK000926
PA
Other
Enumeration date
09/06/2008
Last updated
11/20/2018
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