Mary Louise Kistner M.D.

NPI 1043437718 - Internal Medicine - 207R00000X

NPI Details
NPI 1043437718
Gender Female
Enumeration Date 04/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
RT. 2 BOX 368
BLUEFIELD WV, 24701, US
Phone (304) 323-2431
Fax
Business Location
PO BOX 3273
BLUEFIELD WV, 24701-8273, US
Phone (304) 589-7080
Fax
Toxanomy
Taxonomy Code 207R00000X
License State West Virginia
License Number 14531
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According to our database, Dr. Mary Louise Kistner M.D. NPI is 1043437718, taxonomy code is 207R00000X and license number is 14531, license state is located at West Virginia. Mary Louise Kistner M.D. physically located at Rt. 2 Box 368, Bluefield WV, 24701. NPI Number Mary Louise Kistner M.D. has the Individual type.

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1043437718 NPI number is provided on an as is basis without warranty of any kind. 1043437718 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Louise Kistner M.D. are for informational purposes only.