| NPI | 1699409995 |
|---|---|
| Professional Name | KRISTEL KISHBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 196230) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |