IndividualActive
Brenda Kissick
NPI 1104396944 · Driver · Pueblo, CO
Provider details
- NPI number
- 1104396944
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
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
Registry dates
- Enumerated
- 2018-12-04
- Last updated
- 2018-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.