Doctor Name: | MS. PAGE M. KISSINGER |
NPI Number: | 1588023287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP015939 |
Business Practice Address: | 46 Walnut Bottom Rd Suite 200 Shippensburg, PA - 172578219 |
Business Phone Number: | 7175324148 |
Business Fax Number: | 7175323561 |
Mailing Address: | 785 5th Ave, Suite 3 CHAMBERSBURG |
State: | PA |
Postal Code: | 172014232 |
Phone Number: | 7172639555 |
Fax Number: | 7172174218 |
NPI Enumeration Date: | 02/23/2016 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP015939 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |