Kissel, Michael T

Kissel, Michael T is an individual health care provider with primary practice located at 151 Lee Byrd Rd , Loganville GA 30052-2310. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kissel, Michael T can be contacted via phone (678) 587-5993.

Contact Information

Primary practice address
151 Lee Byrd Rd Loganville GA 30052-2310
Phone: (678) 587-5993
Fax: (678) 587-5997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 060394 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 060394 Georgia

Profile Details

NPI number 1356542799
LBN Legal business name Kissel, Michael T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Apr 5th, 2022 - about 4 years 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356542799 NPPES
Georgia MEDICAID 519873093A

Popular Providers