Individual
MS. BRISTAL LEA KINDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COA
Contact information
Practice address
301 FISHER ST, SUITE GE 344 - REFRACTIVE SURGERY, KEESLER AFB, MS 39534-2508
(228) 376-5711
Mailing address
301 FISHER ST, SUITE GE 344 - REFRACTIVE SURGERY, KEESLER AFB, MS 39534-2508
(228) 376-5711
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156686
JCAHPO - CERTIFICATION
—
Enumeration date
09/22/2009
Last updated
09/22/2009
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