Kissela, Chad M

Kissela, Chad M is an individual health care provider with primary practice located at 1406 6Th Ave N , Saint Cloud MN 56303-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kissela, Chad M can be contacted via phone (320) 251-2700.

Contact Information

Primary practice address
1406 6Th Ave N Saint Cloud MN 56303-1900
Phone: (320) 251-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 41191 Minnesota

Profile Details

NPI number 1912998584
LBN Legal business name Kissela, Chad M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 27th, 2023 - about 2 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 1912998584 NPPES
Minnesota MEDICAID 655314100

Popular Providers