Samuel Kissiedu Valid NPI

Individual provider · Physician Assistant · Chamblee, GA

NPI

1235917154

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

Sex

Male

Sole proprietor

No

Enumerated

2023-09-20

Last updated

2023-09-20