Individual
CARLY KISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1820
(214) 687-0001
Mailing address
4414 KOEHLER ST UNIT B, HOUSTON, TX 77007-3537
(717) 884-2804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
970890
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1207182
TX
Other
Enumeration date
05/05/2025
Last updated
07/22/2025
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