Individual
KEVIN R KRISTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1710 E DAY RD, MISHAWAKA, IN 46545-4300
(574) 252-7795
(574) 252-7796
Mailing address
1710 E DAY RD, MISHAWAKA, IN 46545-4300
(574) 252-7795
(574) 252-7796
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01037448
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100179640
—
IN
05
—
1336414499
—
IN
Enumeration date
05/22/2006
Last updated
03/11/2026
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