Individual
DR. WYATT RICHARD KISSLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
15940 W MORNING VISTA LN, SURPRISE, AZ 85387-6255
(602) 903-8382
Mailing address
15940 W MORNING VISTA LN, SURPRISE, AZ 85387-6255
(602) 903-8382
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8909
AZ
Other
Enumeration date
06/14/2019
Last updated
08/02/2025
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