Individual
EMMA ROSE KISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7494
(540) 776-4000
Mailing address
155 GOLF COURSE RD, PORTAGE, PA 15946-6014
(814) 931-7537
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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