Individual
MR. CHARLES JAMES KISTLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
421 GEORGESVILLE ROAD, COLUMBUS, OH 43228
(614) 272-7700
(614) 272-2728
Mailing address
421 GEORGESVILLE ROAD, COLUMBUS, OH 43228
(614) 272-7700
(614) 272-2728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2242
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411067
—
OH
01
—
35215824501
BLUE
OH
Enumeration date
01/30/2007
Last updated
04/24/2013
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