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KISTNER VEIN CLINIC INC NPI 1881917326


NPI Information

NPI: 1881917326
Provider Name: KISTNER VEIN CLINIC INC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
848 S BERETANIA ST
SUITE 307
HONOLULU, HI
ZIP 96813
Phone: (808) 532-8346
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KISTNER VEIN CLINIC INC is a vascular surgery surgery in Honolulu, HI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. KISTNER VEIN CLINIC INC NPI is 1881917326. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

848 S BERETANIA ST
SUITE 307
HONOLULU, HI
ZIP 96813-551
Phone: (808) 532-8346
Fax: (808) 532-2240

The provider's authorized official is Robert L Kistner .
The authorized official title is Owner and has the following contact phone number (808) 532-8346.

The enumeration date for this NPI number is 3/11/2010 and was last updated on 3/11/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryMD1571HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C98484MEDICARE UPIN
2H100491MEDICARE PINHAWAII

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: 11/14/2023

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