Glenn C Kissinger
Geriatric Medicine
271 North L Street
Dinuba
, California 93618-2107
Glenn C Kissinger
Geriatric Medicine
271 North L Street
Dinuba
, California 93618-2107
(559) 591-8225
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Glenn C Kissinger
- 271 North L Street
- Dinuba, CA
- Zip : 93618-2107
- Fax : (559) 591-8225
- Phone : (559) 591-1820
Second Address
- Glenn C Kissinger
- 271 North L Street
- Dinuba, CA
- Zip : 93618-2107
- Fax : (559) 591-8225
- Phone : (559) 591-1820
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | A21726 | CA |
National Provider Identifier
| NPI | 1013123892 |
|---|---|
| Provider Name | Glenn C Kissinger |
| First Address | Dinuba, CA 93618-2107 |
| Second Address | Dinuba, CA 93618-2107 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A82487 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.