Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35209 | AL |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME141865 | FL |
NPI | 1659633972 |
---|---|
Provider Name | Lindsay Martin Kissane |
First Address | Orlando, FL 32804-4641 |
Second Address | Orlando, FL 32804-4641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2012 |
Last Update Date | 13/09/2019 |