Organization
KISTNER VEIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KISTNER M.D. (OWNER)
(808) 536-8346
Entity
Organization
Contact information
Practice address
848 S BERETANIA ST STE 307, HONOLULU, HI 96813-2551
(808) 532-8346
(808) 532-2240
Mailing address
PO BOX 25668, HONOLULU, HI 96825-0668
(808) 536-0314
(808) 536-0320
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
1571
HI
Other
Enumeration date
11/02/2006
Last updated
10/24/2007
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