Individual
MS. CAMI JO KISTENFEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635-1567
(574) 247-9441
(745) 247-9442
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.003920
IL
363A00000X
Physician Assistant
Primary
10004288A
IN
Other
Enumeration date
09/27/2010
Last updated
09/03/2024
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