KENNETH NISSIM, M.D.
Otolaryngology - Plastic Surgery within the Head & Neck
Active
Individual
NPI: 1447246392
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Otolaryngology - Sleep Medicine | 207YS0012X | No | ME85561 (FL) |
| Otolaryngology - Plastic Surgery within the Head & Neck | 207YX0007X | Yes | 036170811 (IL) |
| Otolaryngology | 207Y00000X | No | ME85561 (FL) |
Frequently Asked Questions
NPI 1447246392 is the National Provider Identifier for KENNETH NISSIM, M.D., a Otolaryngology - Plastic Surgery within the Head & Neck provider located in Rockford, IL. This NPI was enumerated on September 26, 2005.
KENNETH NISSIM, M.D. practices at 1253 N ALPINE RD, Rockford, IL 61107.
Quick Facts
- NPI
- 1447246392
- Type
- Individual
- Enumerated
- Sep 26, 2005
- Last Updated
- Dec 11, 2024
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