Individual
PENELOPE KISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 NORTH AVE, BATTLE CREEK, MI 49017-3307
(269) 963-5048
Mailing address
PO BOX 566, PORTAGE, MI 49081-0566
(616) 975-1845
(616) 975-1870
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704105112
MI
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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