Individual
KIMBERLEE KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6610 N LOVINGTON HWY STE 603, HOBBS, NM 88240-9114
(575) 492-2185
Mailing address
6610 N LOVINGTON HWY STE 603, HOBBS, NM 88240-9114
(575) 492-2185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
615
NM
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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