Individual
KAMI SUE SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
(304) 256-7111
Mailing address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
(304) 256-7111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
830
WV
Other
Enumeration date
11/09/2019
Last updated
04/07/2022
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