MR. EUGENE PATRICK KISTLER PA-C NPI 1073618880

NPI Information

  • NPI: 1073618880
  • Provider Name: MR. EUGENE PATRICK KISTLER, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 4500 STUART ST
    MONCRIEF ARMY COMMUNITY HOSPITAL
    COLUMBIA, SC
    ZIP 29207
  • Phone: (803) 751-2618

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NPI Details

MR. Eugene Patrick Kistler, PA-C is a medical physician assistant in Columbia, SC. MR. Eugene Patrick Kistler, PA-C NPI is 1073618880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4500 STUART ST
MONCRIEF ARMY COMMUNITY HOSPITAL
COLUMBIA, SC
ZIP 29207-700
Phone: (803) 751-2618

The enumeration date for this NPI number is 9/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalNCCPA 1020290Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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