Individual
DR. ERNEST L KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SAINT MARY PL, ANESTHESIA DEPT, SHREVEPORT, LA 71101-4343
(866) 214-8600
(888) 411-4191
Mailing address
PO BOX 9600, DEPT 09-039, TEXARKANA, TX 75505-9600
(866) 214-8600
(888) 411-4191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
014584
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050016353
MEDICARE RAILROAD
LA
05
—
1344877
—
LA
Enumeration date
11/10/2005
Last updated
02/09/2015
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