Brenda Kissick

NPI #1104396944 in Pueblo, Colorado

Provider Information

NPI Number: 1104396944
Entity Type: Individual
Name: Brenda Kissick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Dec 4, 2018
Last Updated: Dec 4, 2018

Practice Location

Address: 41 MONTEBELLO RD STE LL1
City: Pueblo
State: Colorado
ZIP Code: 81001-1379
Phone: (719) 545-2746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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