Provider Demographics
NPI:1528865813
Name:MISHEV, KIRIL
Entity type:Individual
Prefix:MR
First Name:KIRIL
Middle Name:
Last Name:MISHEV
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 40TH AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-7215
Mailing Address - Country:US
Mailing Address - Phone:309-269-3100
Mailing Address - Fax:888-243-3903
Practice Address - Street 1:2424 40TH AVE APT 6
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-7215
Practice Address - Country:US
Practice Address - Phone:309-269-3100
Practice Address - Fax:888-243-3903
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health