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Individual
ZACHARY AARON-FRANCIS KISTKA
Active
Individual
ZACHARY AARON-FRANCIS KISTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01077098A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
34528
WV
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
47710
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163500005
MEDICARE PTAN
IN
05
—
201369110
—
IN
Enumeration date
10/23/2007
Last updated
11/21/2024
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