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Contact Information

NATHANIEL L KISTER, MD
3100 MACCORKLE AVE SE
SUITE 301
CHARLESTON, WV25304-1223
 Phone: 304-388-5395
 Fax: 304-388-5398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NATHANIEL L KISTER · (Male)

NPI # 1629239413
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2008
Last updated 12/21/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 28368
Hospital affiliation(s)
  • CHARLESTON AREA MEDICAL CENTER - (Acute Care)
    501 MORRIS STREET
    CHARLESTON, WV 25301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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