Kathleen Kisseberth
Kathleen Kisseberth is a Student in an Organized Health Care Education/Training Program in Maywood, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Maywood, ILNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Neurology Physician (primary) | Taxonomy 2084N0400X · Licence 125.083669 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1275279366 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 11, 2022 |
| Last updated in NPPES | May 24, 2024 |
| Certification date | May 24, 2024 |
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