Individual
ALICE VICTORIA KISTENEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-0001
(619) 532-5761
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-0001
(619) 532-5761
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2084P0800X
Psychiatry Physician
Primary
88506
SC
208D00000X
General Practice Physician
88506
SC
Other
Enumeration date
03/03/2021
Last updated
06/10/2025
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