Anthony Michael Kissell

NPI #1134985237 in Boise, Idaho

Provider Information

NPI Number
1134985237
Entity Type
Individual
Name
Anthony Michael Kissell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 26, 2024
Last Updated
Feb 26, 2024

Practice Location

Address
1276 W RIVER ST
City
Boise
State
Idaho
ZIP Code
83702-7066
Phone
(208) 338-4699

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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