Barbara Elizabeth Kissam

MD | Developmental - Behavioral Pediatrics | Female

Barbara Elizabeth Kissam, MD is a Charlotte, North Carolina based Pediatric doctor with medical specialization in Developmental - Behavioral Pediatrics. Current practice location of Barbara Elizabeth Kissam is 1900 Randolph Rd, Suite 1010, Charlotte, North Carolina - 28207-1122. She can be contacted on phone at 704-316-1155 and fax number 704-316-1160. Barbara Elizabeth Kissam is a sole proprietor of her business.
NPI number (Unique professional ID) for Barbara Elizabeth Kissam is 1881689362 which was assigned by NPPES on 12 Sep, 2005 and it was last updated on 15 Mar, 2013. Barbara Elizabeth Kissam license number is 2006-01118 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in North Carolina.
Barbara Elizabeth Kissam is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Barbara Elizabeth Kissam basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Developmental - Behavioral Pediatrics
Provider Name :Barbara Elizabeth Kissam
Credential :MD
Gender :Female
Business Address:
Barbara Elizabeth Kissam address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :1900 Randolph Rd, Suite 1010
Charlotte, NC, 28207-1122
United States
Phone Number :704-316-1155
Fax Number :704-316-1160
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1881689362
NPI Entity Type : Individual
First Enrolment Date : 12 Sep, 2005
Last Updated On : 15 Mar, 2013
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Barbara Elizabeth Kissam are as mentioned. Primary taxonomy code for Barbara Elizabeth Kissam, MD is 2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
2080P0006XPediatrics Developmental - Behavioral PediatricsYes2006-01118NC
Legacy Identifiers:
Other legacy medical identifiers of Barbara Elizabeth Kissam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
32568300MEDICAIDWI
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 60447
Charlotte, NC, 28260-0447
United States
Phone Number :704-384-7840
Fax Number :704-384-7830
Business Location:
Patients can refer following map for directions to Barbara Elizabeth Kissam practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.