Kistler, Gerald

Kistler, Gerald is an individual health care provider with primary practice located at 3000 Mack Rd , Fairfield OH 45014-5335. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kistler, Gerald can be contacted via phone (513) 672-3309.

Contact Information

Primary practice address
3000 Mack Rd Fairfield OH 45014-5335
Phone: (513) 672-3309
Fax: (513) 672-3323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 080633 Ohio

Profile Details

NPI number 1265422133
LBN Legal business name Kistler, Gerald
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Nov 29th, 2007 - about 17 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 1265422133 NPPES
Ohio MEDICAID 0807943

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