Individual
DR. BRIDGET LYNN KISTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2499
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
036162130
IL
2085R0202X
Diagnostic Radiology Physician
036162130
IL
2085R0202X
Diagnostic Radiology Physician
2020011852
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200083831
—
MO
Enumeration date
06/24/2015
Last updated
04/22/2026
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