Carmella Kimberly Kistner
NPI #1669721627 in Wading River, New York
Provider Information
- NPI Number
- 1669721627
- Entity Type
- Individual
- Name
- Carmella Kimberly Kistner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Sep 6, 2012
- Last Updated
- Apr 7, 2015
Practice Location
- Address
- 90 DOG WOOD LN
- City
- Wading River
- State
- New York
- ZIP Code
- 11792-1803
- Phone
- (631) 356-9739
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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