Kerri A. Kissell
Internist Endocrinologist (Diabetes Doctor)
1 Memorial Sq Ste 2200
Greenfield
, Indiana 46140-1378
Kerri A. Kissell
Internist Endocrinologist (Diabetes Doctor)
1 Memorial Sq Ste 2200
Greenfield
, Indiana 46140-1378
(570) 888-5858
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About
Features
Specialties
- Internist
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Kerri A. Kissell
- 1 Guthrie Sq
- Sayre, PA
- Zip : 18840-1625
- Phone : (570) 888-5858
Second Address
- Kerri A. Kissell
- 1 Memorial Sq Ste 2200
- Greenfield, IN
- Zip : 46140-1378
- Fax : (317) 468-6275
- Phone : (317) 462-6662
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD430427 | PA |
| N | 111NI0900X | Internist | MD430427 | PA |
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD430427 | PA |
National Provider Identifier
| NPI | 1043354483 |
|---|---|
| Provider Name | Kerri A. Kissell |
| First Address | Sayre, PA 18840-1625 |
| Second Address | Greenfield, IN 46140-1378 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/02/2007 |
| Last Update Date | 24/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02889256 | (05) | NY |
| 039812 | MEDICARE GROUP (01) | PA |
| 1019360730001 | (05) | PA |
| CC9269 | RR MEDICARE GROUP (01) | PA |
| GU039812 | MEDICARE GROUP (01) | PA |
| P00424192 | RR MEDICARE PIN (01) | PA |
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.