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Contact Information

CAROLINE M KISTLER, NNP
1 MEDICAL VILLAGE DR
EDGEWOOD, KY41017-3403
 Phone: 859-301-2423
 Fax: 859-301-2066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal Intensive Care

163WN0002X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CAROLINE M KISTLER · (Female)

NPI # 1356591960
Status Active
Credentials NNP
Entity Individual
Enumeration date 09/19/2008
Last updated 02/20/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 1115125
  • KY License # 3007759
  • OH License # 218032
  • OH License # NP02478
Hospital affiliation(s) Not Available
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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