Individual
DR. KELSEY CISSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1750 S PERRYVILLE BLVD, PERRYVILLE, MO 63775-6156
(573) 547-2577
Mailing address
816 JENKINS ST, PERRYVILLE, MO 63775-1121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2015029229
MO
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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