Individual
HEATHER DEANN KISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OP61209052
WA
208M00000X
Hospitalist Physician
009222
AZ
208M00000X
Hospitalist Physician
Primary
OP61209052
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2191020
—
WA
Enumeration date
06/07/2018
Last updated
12/20/2021
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