SPENCER KISSEL

GALLIPOLIS, OH
NPI1013499029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WV  APRN88700-PMHNP-BC)
Enumeration Date2018-09-06
Last Update Date2021-04-19
Business Address
SPENCER KISSEL
1284 STATE ROUTE 160
GALLIPOLIS, OH 45631
Phone number: 912-409-8533
Mailing Address
SPENCER KISSEL
1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804-1707
Phone number: 563-421-1785
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