Individual
JESSICA KISSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 UNIVERSITY AVE, CALIFORNIA, PA 15419-1341
(724) 938-5025
(724) 938-4342
Mailing address
265 GRANGE RD, COAL CENTER, PA 15423-1305
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
RT006101
PA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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