Individual
CARA LEE KIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., C.P.N.P
Contact information
Practice address
6425 S IH 35 STE 100, AUSTIN, TX 78744-4230
(512) 744-6000
(512) 225-6520
Mailing address
9411 N LAMAR BLVD STE 120, AUSTIN, TX 78753-4179
(512) 583-9679
(512) 233-0985
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
616042-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
AP127768
TX
363LP0200X
Pediatric Nurse Practitioner
F382185-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3530693-01
—
TX
Enumeration date
03/23/2011
Last updated
04/26/2016
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