Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FREDERICK OTTO KIST
Active Sole ProprietorMR. FREDERICK OTTO KIST is a Contractor healthcare provider located in INVERNESS, Illinois. NPI 1366450769 is currently active in the NPPES registry. Verify at CMS.
Contractor · INVERNESS, IL
Registration Details
- NPI Number
- 1366450769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2006 (20.049208311353 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1615 PHEASANT TRLINVERNESS, IL, 600674619Browse IL providers · Browse ZIP 60067
- Phone
- 8473586526
- Fax
- 8473586536
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.