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1881689362
BARBARA ELIZABETH KISSAM
CHARLOTTE, NC
NPI
1881689362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: NC 2006-01118)
Enumeration Date
2005-09-12
Last Update Date
2013-03-15
Business Address
-- BARBARA ELIZABETH KISSAM MD
1900 RANDOLPH RD SUITE 1010
CHARLOTTE, NC 28207-1122
Phone number: 704-316-1155
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Mailing Address
-- BARBARA ELIZABETH KISSAM MD
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-384-7840
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