Individual
DR. JENNIFER LEE KISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
185 W HIGHWAY 246 STE 102, BUELLTON, CA 93427-9458
(805) 686-8555
(805) 686-8556
Mailing address
1836 MAGELLAN DR, SANTA MARIA, CA 93454-1578
(805) 928-1491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G55862
CA
208000000X
Pediatrics Physician
Primary
G55862
CA
208D00000X
General Practice Physician
G55862
CA
Other
Enumeration date
01/22/2007
Last updated
01/06/2012
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