Individual
ZACHARY MATTHEW KISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
4016 W 95TH ST, PRAIRIE VILLAGE, KS 66207-2702
(913) 307-3057
(913) 307-3063
Mailing address
4016 W 95TH ST, PRAIRIE VILLAGE, KS 66207-2702
(913) 307-3057
(913) 307-3063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-14745
KS
183500000X
Pharmacist
Primary
2008016514
MO
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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