Individual
KEVIN ALAN KISSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, NREMT-P
Contact information
Practice address
115 MAGNOLIA SPRINGS RD, TROUTVILLE, VA 24175-5101
(540) 966-2234
Mailing address
115 MAGNOLIA SPRINGS RD, TROUTVILLE, VA 24175-5101
(540) 966-2234
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
E093004104
VA
163WF0300X
Flight Registered Nurse
Primary
0001185682
VA
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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