Individual
STEVEN KISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10723 TIMBER OAK CIR, INDIANAPOLIS, IN 46236-8493
(317) 826-4646
Mailing address
10723 TIMBER OAK CIR, INDIANAPOLIS, IN 46236-8493
(317) 826-4646
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01027095
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100325050
—
IN
Enumeration date
08/12/2006
Last updated
03/18/2009
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