Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY S KISSWANY, DO
Active Sole ProprietorMARY S KISSWANY, DO is a Hospitalist healthcare provider located in GONZALES, Louisiana. NPI 1356506166 is currently active in the NPPES registry. Verify at CMS.
Hospitalist · GONZALES, LA
Registration Details
- NPI Number
- 1356506166
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 21, 2008 (18.101466756308 yrs)
- Last Updated
- Nov 15, 2018
- Licenses
-
25MB08436700 (NJ)000246 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1125 W HIGHWAY 30GONZALES, LA, 707375004Browse LA providers · Browse ZIP 70737
- Phone
- 2256212975
- Primary Specialty
-
Hospitalist
208M00000X
- Additional Specialty
- Hospitalist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.