Individual
MRS. KIMBERLY LYNN BISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 ROYAL CT, HORSEHEADS, NY 14845-2539
(607) 731-9649
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017888
PA
Other
Enumeration date
09/12/2017
Last updated
03/16/2021
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