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Individual

MS. CORTNEY KISSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9735 LANDMARK PARKWAY DR STE 201, SAINT LOUIS, MO 63127-1666
(314) 543-6984
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 525-1877

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG02230087
MO

Other

Enumeration date
03/06/2023
Last updated
05/05/2023
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