Individual
EMILY MITCHELL KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMS
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
66591
CA
363A00000X
Physician Assistant
PA.0007558
CO
363AS0400X
Surgical Physician Assistant
PA.0007558
CO
Other
Enumeration date
12/03/2018
Last updated
03/24/2026
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