Individual
JOSEPH KIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE ST, 2 RHOADS PAVILION, PHILADELPHIA, PA 19104-4206
(215) 662-2737
(215) 349-8339
Mailing address
3400 SPRUCE ST, 2 RHOADS PAVILLION, PHILADELPHIA, PA 19104-4206
(215) 662-2737
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD421236
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100820565
—
PA
Enumeration date
07/18/2006
Last updated
09/09/2015
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