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Individual

MRS. CAROLINE MARGARET KISTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2423
(859) 301-2066
Mailing address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2423
(859) 301-2066

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
1115125
KY
163WN0002X
Neonatal Intensive Care Registered Nurse
218032
OH
363L00000X
Nurse Practitioner
3007759
KY
363LN0000X
Neonatal Nurse Practitioner
Primary
3007759
KY
363LN0000X
Neonatal Nurse Practitioner
NP02478
OH

Other

Enumeration date
09/19/2008
Last updated
02/20/2017
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