Individual
DR. NATHANIEL LLOYD KISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 301, CHARLESTON, WV 25304-1223
(304) 388-5395
(304) 388-5398
Mailing address
3100 MACCORKLE SEAVE 301, CHARLESTON, WV 25304-1229
(304) 388-5395
(304) 388-5398
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
28368
WV
Other
Enumeration date
06/24/2008
Last updated
12/21/2015
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