Individual
KATHLEEN ROSE NISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(828) 465-7674
(828) 465-7905
Mailing address
810 FAIRGROVE CHURCH ROAD, HICKORY, NC 28602-3067
(828) 465-7674
(828) 465-7905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
129935
NC
Other
Enumeration date
03/20/2006
Last updated
07/27/2010
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