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

Individual provider Developmental - Behavioral Pediatrics Physician · NPI 1881689362

Barbara Elizabeth Kissam, MD is a Pediatric Medicine in Charlotte, North Carolina. Graduated from Saint Louis University School of Medicine in 1994, 32 years ago. Works from 2 locations. Licensed in North Carolina.

Years since qualifying
32
Trained at
Saint Louis University School of Medicine
Licensed in
NC
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1900 Randolph Rd Ste 1010
Charlotte, NC 28207-1122
Phone: (704) 316-1155
Fax: (704) 316-1160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2200 Cloverdale Ave, Winston Salem, NC 27103-2300 — (336) 713-4500

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence 2006-01118 (NC)

Record details

NPI number1881689362
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 12, 2005
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Not indicated

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