Individual
HEATHER L KISTNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
1103 N EASTMAN RD, KINGSPORT, TN 37664-3156
(423) 247-5771
(423) 247-5775
Mailing address
1103 N EASTMAN RD, KINGSPORT, TN 37664-3156
(423) 247-5771
(423) 247-5775
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1381
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135756
PREFERRED CARE
—
01
—
4073516
BLUE CROSS BLUE SHIELD
—
01
—
TN0100
JOHN DEERE HEALTH
—
Enumeration date
05/11/2006
Last updated
07/08/2007
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