NPI 1104396944
Brenda Kissick
Practice location
- Address
- 41 Montebello Rd STE Ll1, Pueblo, CO 81001-1379
- Phone
- (719) 545-2746
- Fax
- (719) 542-9638
- Mailing address
- 41 Montebello Rd STE 202, Pueblo, CO 81001-1366
Registered specialties
Driver
Primary
Registry record
- NPI
- 1104396944
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Dec 2018
- Record last updated
- 4 Dec 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.