Individual
ALEXA KISHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1601 S ANDREWS AVE FL 2, FORT LAUDERDALE, FL 33316-2509
(954) 522-3355
(954) 522-9590
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 522-3355
(954) 522-9590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
04/01/2024
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