Susan Lee Kissell in Minnetonka - Gerontology

Susan Lee Kissell - NPI 1245249259

Susan Lee Kissell is a Gerontology in Minnetonka, Minnesota. Susan Lee Kissell practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Susan Lee Kissell is 1245249259. The last update date is 2011-09-02.

Susan Lee Kissell's current location address is 401 Carlson Parkway, Minnetonka, Minnesota. You can contact this provider via phone number 9529923612. The mailing address for Susan Lee Kissell is 401 Carlson Parkway, Minnetonka, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Lee Kissell
Address 401 Carlson Parkway, Minnetonka, Minnesota
Phone Number 9529923612
Fax Number
Sole Proprietor Y
Credentials RN, CNP

NPI Number Detail

NPI Number 1245249259
Provider Enumeration Date 2006-08-07
Last Updated Date 2011-09-02

Provider Mailing Address Detail

Address 401 Carlson Parkway
City Minnetonka
State Minnesota (MN)
Post Code 553055387
Phone Number 9529923612
Fax Number

Provider's Primary Taxonomy Detail

Speciality Gerontology
Taxonomy 363Lg0600X
Licence No R0665283
Definition:
An advanced practice registered nurse expert in providing care to older adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1145878-00 MN --

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FAQs about Susan Lee Kissell

What is the Susan Lee Kissell's unique identification number?

The Susan Lee Kissell has been assigned the NPI (National Provider Identifier) Number 1245249259 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Susan Lee Kissell's facilities are situated?

The facilities of Susan Lee Kissell are physically located at the following address: 401 Carlson Parkway, Minnetonka, MN, 553055387.

What is Susan Lee Kissell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Susan Lee Kissell is Gerontology, and the taxonomy code that classifies this field of practice is 363Lg0600X.

When was the Susan Lee Kissell's 1245249259 issued?

The Susan Lee Kissell's 1245249259 was issued on 2006-08-07.

As of what date were the details pertaining to Susan Lee Kissell last refreshed?

The information related to the Susan Lee Kissell, including its address, specialty, and other relevant details, was last updated on 2011-09-02.

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