Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Mark Kiselica, PHD

Individual provider Clinical Neuropsychologist · NPI 1104434190

Andrew Mark Kiselica, PHD is a Clinical Neuropsychologist in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

701 S 5th St Clark Hall Rm 501
Columbia, MO 65211-0001
Phone: (573) 882-1561
Fax: (573) 884-1889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 2020008417 (MO)

Record details

NPI number1104434190
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 16, 2020
Last updated in NPPESOctober 5, 2022
Certification dateJune 2, 2022
Mailing addressPo Box 843966, Kansas City, MO 64184-3966

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