Kissi, Dora
Kissi, Dora is an sole proprietor health care provider with primary practice located at 1428 N Waterman Ave Ste B , San Bernardino CA 92404-5382. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Kissi, Dora can be contacted via phone (909) 888-7180.Contact Information
Primary practice address
1428 N Waterman Ave Ste B
San Bernardino CA 92404-5382
Phone: (909) 888-7180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 9051 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 826 | California |
Profile Details
| NPI number | 1841550647 |
|---|---|
| LBN Legal business name | Kissi, Dora |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2012 |
| Last updated | Jun 1st, 2016 - about 10 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.
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