Kistler, Kent H
Kistler, Kent H is an individual health care provider with primary practice located at 1130 Grove Rd , Greenville SC 29605-4620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kistler, Kent H can be contacted via phone (864) 232-9644.Contact Information
Primary practice address
1130 Grove Rd
Greenville SC 29605-4620
Phone: (864) 232-9644
Fax: (864) 232-7825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 12022 | South Carolina |
Profile Details
| NPI number | 1730171166 |
|---|---|
| LBN Legal business name | Kistler, Kent H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jun 25th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730171166 | NPPES |
| South Carolina | MEDICAID | 120229 |
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