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Contact Information

TERESIA K KISESEWA
2100 BAYNARD BLVD
WILMINGTON, DE19802-3900
 Phone: 302-394-6060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for TERESIA K KISESEWA · (Female)

NPI Number 1538010640
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2026
Last updated 02/05/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • DE License # LG-0013273
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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