Individual
STEPHEN CHARLES KISSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
314 FLANDERS RD, EAST LYME, CT 06333-1727
(860) 739-3600
(860) 739-3601
Mailing address
64 BLOOD ST, LYME, CT 06371-3514
(806) 434-3176
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001384
CT
Other
Enumeration date
09/21/2006
Last updated
09/10/2008
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