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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNIFER LEE KISSINGER, MD

Active

DR. JENNIFER LEE KISSINGER, MD is a Pediatrics healthcare provider located in BUELLTON, California. NPI 1982758884 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · BUELLTON, CA

Registration Details

NPI Number
1982758884
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2007 (19.413229100347 yrs)
Last Updated
Jan 6, 2012
Licenses
G55862 (CA)
G55862 (CA)
G55862 (CA)

Practice Information

Address
185 W HIGHWAY 246 STE 102
BUELLTON, CA, 934279458
Browse CA providers · Browse ZIP 93427
Phone
8056868555
Fax
8056868556
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Additional Specialty
Internal Medicine
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.