MR. Kevin Kistner, COMS

NPI #1548657976 in Hines, Illinois

Provider Information

NPI Number: 1548657976
Entity Type: Individual
Name: MR. Kevin Kistner, COMS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician/Technologist
Credential: COMS
Enumeration Date: Apr 23, 2015
Last Updated: Apr 23, 2015

Practice Location

Address: 5000 S 5TH AVE
City: Hines
State: Illinois
ZIP Code: 60141-3030
Phone: (630) 202-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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