Nissley, Kerry Michael

Nissley, Kerry Michael is an individual health care provider with primary practice located at 5665 Main St , East Petersburg PA 17520-1513. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Nissley, Kerry Michael can be contacted via phone (717) 569-7011.

Contact Information

Primary practice address

5665 Main St East Petersburg PA 17520-1513

Phone: (717) 569-7011

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Family	363LF0000X	SP013914	Pennsylvania

Profile Details

NPI number	1497160295
LBN Legal business name	Nissley, Kerry Michael
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jul 1st, 2014
Last updated	Jul 1st, 2014 - about 12 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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