Kenneth Richard Nissim, M.D.

NPI #1447246392 in Rockford, Illinois

Provider Information

NPI Number
1447246392
Entity Type
Individual
Name
Kenneth Richard Nissim, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Otolaryngology - Plastic Surgery within the Head & Neck
Credential
M.D.
Enumeration Date
Sep 26, 2005
Last Updated
Dec 11, 2024

Practice Location

Address
1253 N ALPINE RD
ZIP Code
61107-2201
Phone
(779) 696-9201

Specialties & Taxonomy Codes

Specialty
Otolaryngology - Sleep MedicineSleep Medicine
Otolaryngology - Plastic Surgery within the Head & NeckPlastic Surgery within the Head & Neck
Otolaryngology

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