Individual
COURTNEY RENE KISSLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 N HWY 121, BONHAM, TX 75418
(430) 703-1550
Mailing address
2140 N HWY 121, BONHAM, TX 75418
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1055942
TX
363LF0000X
Family Nurse Practitioner
Primary
1055942
TX
Other
Enumeration date
10/06/2021
Last updated
03/08/2023
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