Kissam, Barbara Elizabeth

Kissam, Barbara Elizabeth is an individual health care provider with primary practice located at 1900 Randolph Rd Suite 1010, Charlotte NC 28207-1122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Kissam, Barbara Elizabeth can be contacted via phone (704) 316-1155.

Contact Information

Primary practice address
1900 Randolph Rd Suite 1010 Charlotte NC 28207-1122
Phone: (704) 316-1155
Fax: (704) 316-1160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 2006-01118 North Carolina

Profile Details

NPI number 1881689362
LBN Legal business name Kissam, Barbara Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Mar 2nd, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881689362 NPPES
Wisconsin MEDICAID 32568300

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