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1710518220
KATIE T KISSEL
MOORESVILLE, NC
NPI
1710518220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5012800)
Enumeration Date
2020-02-03
Last Update Date
2020-10-14
Business Address
Miss KATIE T KISSEL FNP-C
128 E PLAZA DR STE 3
MOORESVILLE, NC 28115-8000
Phone number: 980-444-2630
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Mailing Address
Miss KATIE T KISSEL FNP-C
PO BOX 896199
CHARLOTTE, NC 28289-6199
Phone number: 833-936-1364
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