Individual
MARY S KISSWANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1125 W HIGHWAY 30, GONZALES, LA 70737-5004
(225) 621-2975
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0194
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
000246
LA
208M00000X
Hospitalist Physician
25MB08436700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172146
—
NJ
01
—
48090-NON PAR
UHP-PHYS ASSOC OF TEANECK
NJ
01
—
P00667653
RAILROAD MEDICARE
NJ
01
—
P00829442
RR MEDICARE-TEANECK
NJ
Enumeration date
07/21/2008
Last updated
11/15/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us