Michael David Kisicki in Lebanon - Psychiatry

Michael David Kisicki - NPI 1407067572

Michael David Kisicki is a Psychiatry in Lebanon, New Hampshire. Michael David Kisicki practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Michael David Kisicki is 1407067572. The last update date is 2023-03-07.

Michael David Kisicki's current location address is 1 Medical Center Dr, Lebanon, New Hampshire. You can contact this provider via phone number 6036507232. The mailing address for Michael David Kisicki is 1 Medical Center Dr, Lebanon, New Hampshire. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael David Kisicki
Address 1 Medical Center Dr, Lebanon, New Hampshire
Phone Number 6036507232
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1407067572
Provider Enumeration Date 2007-05-24
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 1 Medical Center Dr
City Lebanon
State New Hampshire (NH)
Post Code 37560001
Phone Number 6036507232
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No A96472
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A96472 CA MEDICAL LICENSE

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FAQs about Michael David Kisicki

What is the unique identification code assigned to Michael David Kisicki by the Centers for Medicare & Medicaid Services?

The Michael David Kisicki has been issued the NPI (National Provider Identifier) 1407067572. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Michael David Kisicki?

The Michael David Kisicki is physically situated at 1 Medical Center Dr, in the city of Lebanon, state of NH, with the postal code 37560001.

What is Michael David Kisicki's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael David Kisicki's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services issue the 1407067572 to Michael David Kisicki?

The Michael David Kisicki received its 1407067572 assignment from the Centers for Medicare & Medicaid Services on 2007-05-24.

As of what date were the details pertaining to Michael David Kisicki last refreshed?

The information related to the Michael David Kisicki, including its address, specialty, and other relevant details, was last updated on 2023-03-07.

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