Individual
KYLE KISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
225 S CENTER AVE, SOMERSET, PA 15501-2033
(814) 483-9090
Mailing address
225 S CENTER AVE, SOMERSET, PA 15501-2033
(814) 483-9090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN688104
PA
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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