Kister, Joseph Anthony

Kister, Joseph Anthony is an individual health care provider with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141-8221. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Kister, Joseph Anthony can be contacted via phone (314) 251-6000.

Contact Information

Primary practice address
615 S New Ballas Rd Saint Louis MO 63141-8221
Phone: (314) 251-6000
Fax: (636) 386-7679
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 2014032277 Missouri

Profile Details

NPI number 1386046878
LBN Legal business name Kister, Joseph Anthony
Credentials AA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2014
Last updated Sep 12th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386046878 NPPES
Missouri MEDICAID 1386046878

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