| Mrs Carolyn D Kissiar, CNP | |
|
37 Rustic Campus Drive, Southern Seven Health Department, Ullin, IL 62992-2226 | |
| (618) 634-2297 | |
| (618) 634-9011 |
| Full Name | Mrs Carolyn D Kissiar |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 37 Rustic Campus Drive, Ullin, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861716532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041244469 (Illinois) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 209001132 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Carolyn D Kissiar, CNP 37 Rustic Campus Drive, Ullin, IL 62992-2226 Ph: (618) 634-2297 | Mrs Carolyn D Kissiar, CNP 37 Rustic Campus Drive, Southern Seven Health Department, Ullin, IL 62992-2226 Ph: (618) 634-2297 |