Individual
DR. KEIRA CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
833 CHESTNUT ST, SUITE 210, PHILADELPHIA, PA 19107-4414
(215) 955-6912
(215) 923-1923
Mailing address
833 CHESTNUT ST, SUITE 210, PHILADELPHIA, PA 19107-4414
(215) 955-6912
(215) 923-8219
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MT181668
PA
Other
Enumeration date
12/28/2006
Last updated
09/12/2008
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