Individual
CECEILIA NICHOLE KISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
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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