Individual
MR. JEFFREY LYNN KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
700 W MAIN ST, LOUISVILLE, OH 44641-1338
(330) 499-9847
(330) 499-9798
Mailing address
500 HEATHERWOOD ST SW, NORTH CANTON, OH 44720-4113
(330) 499-9847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-13824
OH
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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