IndividualActive
Carolyn Kissiar, CNP
NPI 1861716532 · Gynecology Physician · Ullin, IL
Provider details
- NPI number
- 1861716532
- Entity type
- Individual
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 041244469 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Nursing Service Providers
Practice location
37 Rustic Campus Drive
Southern Seven Health Department
Ullin, IL 62992-2226
Phone: (618) 634-2297
Fax: (618) 634-9011
Approximate (ZIP-level) locationGet directions
Mailing address
37 Rustic Campus Drive
Ullin, IL 62992-2226
Registry dates
- Enumerated
- 2010-03-24
- Last updated
- 2010-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.