| Doctor Name: | DR. JENNIFER LEE KISSINGER |
| NPI Number: | 1982758884 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | G55862 |
| Business Practice Address: | 185 W Highway 246 Ste 102 Buellton, CA - 934279458 |
| Business Phone Number: | 8056868555 |
| Business Fax Number: | 8056868556 |
| Mailing Address: | 1836 Magellan Dr, SANTA MARIA |
| State: | CA |
| Postal Code: | 934541578 |
| Phone Number: | 8059281491 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 01/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G55862 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |