IndividualActive
Michael Kissenberth, M.D.
NPI 1184670994 · Sports Medicine (Orthopaedic Surgery) Physician · Greenville, SC
Provider details
- NPI number
- 1184670994
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 27259 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
701 Congaree Rd
Greenville, SC 29607-3519
Phone: (864) 248-4100
Fax: (864) 248-4105
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 604348
Charlotte, NC 28260-4348
Additional practice locations (1)
- 200 Patewood Dr Ste C100Greenville, SC 29615-6322Phone: (864) 454-7422Fax: (864) 454-8265
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.