Kistler, George L

Kistler, George L is an individual health care provider with primary practice located at 101 S Fairview Rd , Columbia MO 65203-7637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kistler, George L can be contacted via phone (573) 884-7600.

Contact Information

Primary practice address
101 S Fairview Rd Columbia MO 65203-7637
Phone: (573) 884-7600
Fax: (573) 884-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X R3J25 Missouri

Profile Details

NPI number 1710973656
LBN Legal business name Kistler, George L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710973656 NPPES
Missouri Other 110045597 RAILROAD MEDICARE
Missouri MEDICAID 203209101 RAILROAD MEDICARE

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