Kistner, Bridget Lynn
Kistner, Bridget Lynn is an individual health care provider with primary practice located at 1025 S 6Th St , Springfield IL 62703-2499. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is her primary health care specialty. Kistner, Bridget Lynn can be contacted via phone (217) 528-7541.Contact Information
Primary practice address
1025 S 6Th St
Springfield IL 62703-2499
Phone: (217) 528-7541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 036162130 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036162130 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2020011852 | Missouri |
Profile Details
| NPI number | 1649652728 |
|---|---|
| LBN Legal business name | Kistner, Bridget Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2015 |
| Last updated | Apr 22nd, 2026 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649652728 | NPPES |
| Missouri | MEDICAID | 200083831 |
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