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DAVID ERIC KISSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PH D

Contact information

Practice address
2020 NEWBURG RD, PSYCHIATRY DEPARTMENT, LOUISVILLE, KY 40205-1803
(502) 451-3330
(502) 451-5949
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 479-4433
(502) 451-5949

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
KY25894
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201062670A
IN
05
64258940
KY
Enumeration date
08/02/2006
Last updated
07/02/2012
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