Individual
CATHERINE EMILY KISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
652 COLEMAN BLVD., SUITE 104, MT. PLEASANT, SC 29464
(843) 849-2717
(843) 849-2718
Mailing address
652 COLEMAN BLVD, SUITE 104, MOUNT PLEASANT, SC 29464-4061
(843) 849-2717
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1417
SC
Other
Enumeration date
07/20/2006
Last updated
08/22/2008
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