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Individual

DR. HARRISON SCOTT KISTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 433-6341
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
DOS-2436
HI
208M00000X
Hospitalist Physician
Primary
DOS2436
HI

Other

Enumeration date
03/08/2019
Last updated
07/25/2024
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