Individual
CECEILIA NICHOLE KISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4760 BELPAR ST NW, CANTON, OH 44718-3603
(330) 492-9200
Mailing address
11695 MEADOWLANE AVE NW, UNIONTOWN, OH 44685-8212
(330) 488-7975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005676RX
OH
363AM0700X
Medical Physician Assistant
50.005676RX
OH
Other
Enumeration date
11/14/2018
Last updated
03/21/2019
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