Individual
JACOB MICHAEL KISIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
OT021611
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R4575
NH
Other
Enumeration date
05/24/2022
Last updated
07/04/2025
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