Individual
RACHEL RENEE KISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 FAIRWAY ST, DICKINSON, ND 58601-2639
(701) 456-4000
Mailing address
PO BOX 143, DODGE, ND 58625-0143
(701) 690-3661
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAC1099
ND
363AM0700X
Medical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2024
Last updated
11/20/2024
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