Individual
DIANE L KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5 ACADEMY DRIVE, NEW HAMPTON, NH 03256
(603) 744-5377
(603) 744-8165
Mailing address
PO BOX 1327, LACONIA, NH 03247-1327
(603) 524-3211
(603) 527-7038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10718
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30221276
—
NH
Enumeration date
02/01/2006
Last updated
07/08/2007
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