Individual
CLIFFORD RYAN KISSLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 684-2420
(918) 502-7573
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(918) 684-2420
(918) 502-7573
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2019019197
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
39479
OK
Other
Enumeration date
06/15/2018
Last updated
07/12/2022
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