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Edward Ryan Kissam, AG-ACNP
Acute Care Nurse Practitioner in Fort Sam Houston, Texas
NPI 1194400473

Edward Ryan Kissam is an Acute Care Nurse Practitioner based in Fort Sam Houston, TX and is specialized in Acute Care. Edward Ryan Kissam practices in Fort Sam Houston, TX and has the professional credentials of AG-ACNP. The NPI Number for Edward Ryan Kissam is 1194400473 and holds a License No. 1106762 (Texas).

The current practice location address for Edward Ryan Kissam is 3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, TX and can be reached out via phone at 210-916-8003.

Location: 3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194400473
Provider Name
Edward Ryan Kissam
Credential
AG-ACNP
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, TX, 78234-4504
Phone Number
210-916-8003
Fax Number
Provider Enumeration Date
06/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr Bldg 3600
City
Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-8003
Fax Number
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr Bldg 3600
City
Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-8003
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
1106762 (Texas)
Definition
Definition to come...
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