Individual
DR. PHILLIP A KISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
221 TRELLIS ST, ALVATON, KY 42122-8756
(270) 303-6989
Mailing address
221 TRELLIS ST, ALVATON, KY 42122-8756
(270) 303-6989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5939
KY
Other
Enumeration date
01/25/2006
Last updated
02/27/2013
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