Walter David Kistler in Saint Louis - Internal Medicine

Walter David Kistler - NPI 1922005834

Walter David Kistler is a Internal Medicine in Saint Louis, Missouri. Walter David Kistler practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Walter David Kistler is 1922005834. The last update date is 2015-05-11.

Walter David Kistler's current location address is 950 Francis Pl, Saint Louis, Missouri. You can contact this provider via phone number 3147210411 and fax number 3147215968. The mailing address for Walter David Kistler is 950 Francis Pl, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Walter David Kistler
Address 950 Francis Pl, Saint Louis, Missouri
Phone Number 3147210411
Fax Number 3147215968
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1922005834
Provider Enumeration Date 2005-07-07
Last Updated Date 2015-05-11

Provider Mailing Address Detail

Address 950 Francis Pl
City Saint Louis
State Missouri (MO)
Post Code 631052465
Phone Number 3147210411
Fax Number 3147215968

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No R3878
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
431059684 FED TAX ID
186857 MO GHP
200690907 MO --
178790 MO BLUE CROSS BLUE SHIELD
P00174135 RAILROAD MEDICARE
3759 MO PTAN

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FAQs about Walter David Kistler

What is the unique identification code assigned to Walter David Kistler by the Centers for Medicare & Medicaid Services?

The Walter David Kistler has been issued the NPI (National Provider Identifier) 1922005834. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Walter David Kistler's facilities are situated?

The facilities of Walter David Kistler are physically located at the following address: 950 Francis Pl, Saint Louis, MO, 631052465.

What is the Walter David Kistler's area of specialization and corresponding taxonomy classification?

The Walter David Kistler's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1922005834 assigned to Walter David Kistler?

The Walter David Kistler was issued its 1922005834 on 2005-07-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Walter David Kistler last refreshed?

The information related to the Walter David Kistler, including its address, specialty, and other relevant details, was last updated on 2015-05-11.

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