Individual
DR. KEVIN C BISTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
500 W GERMANTOWN PIKE STE 2230, PLYMOUTH MEETING, PA 19462-3304
(610) 941-0335
Mailing address
32 E 4TH ST, LANSDALE, PA 19446-2602
(267) 218-5778
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002052
PA
Other
Enumeration date
10/21/2008
Last updated
10/03/2018
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