Individual
DR. MARC D. KISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3017 W 6TH ST STE A, LAWRENCE, KS 66049-2364
(785) 841-2218
Mailing address
3017 W 6TH ST STE A, LAWRENCE, KS 66049-2364
(785) 841-2218
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104409
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062504
BCBSKS
KS
01
—
P00610847
RR MEDICARE
KS
Enumeration date
05/16/2007
Last updated
10/20/2008
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