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NPI Code Detail

MEDICARE: RYAN N KISSLING DC

MEDICARE:   RYAN N KISSLING  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorB01327NV

General Provider Information

NPI Number : 1902033681
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN N KISSLING DC
Provider Business Mailing Address
First Line : 6441 N DURANGO DR STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4588
Country : US
Telephone Number : 702-538-9100
Fax Number :
Provider Business Practice Location Address
First Line : 6441 N DURANGO DR STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4588
Country : US
Telephone Number : 702-538-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2009
Last Update Date : 06/19/2009

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Directions to “ RYAN N KISSLING DC” Practice Location

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