Individual
DR. KIYOSHI CHRISTOPHER SCISSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Mailing address
420 LOWELL DR SE FL 5, HUNTSVILLE, AL 35801-3754
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2020-0043
NC
207R00000X
Internal Medicine Physician
2020-00043
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2020-0043
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
46469
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2017
Last updated
06/15/2024
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