Individual
CARA RUTH KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10650 PARK RD, STE 300, CHARLOTTE, NC 28210-8538
(704) 667-3925
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011-00538
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2011-00538
NC
207RP1001X
Pulmonary Disease Physician
Primary
2011-00538
NC
Other
Enumeration date
05/22/2008
Last updated
07/18/2024
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