Carol Deniece Kistler, is a
Physical Medicine & Rehabilitation physician based in Dalton, Georgia. Carol Deniece Kistler is licensed to practice in Georgia (license number 000345) and her current practice location is 1212 Broadrick Dr, Dalton, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 270-8008.
NPI number for Carol Deniece Kistler is 1003632621 and her current mailing address is 1212 Broadrick Dr, Dalton, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003632621.
Physician's Profile
| Full Name | Carol Deniece Kistler |
|---|
| Gender | Female |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 1212 Broadrick Dr, Dalton, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003632621
- Provider Enumeration Date: 11/27/2024
- Last Update Date: 11/27/2024
Medical Identifiers
Medical identifiers for Carol Deniece Kistler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003632621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 0003.45 (Georgia) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 000345 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carol Deniece Kistler is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carol Deniece Kistler,
1212 Broadrick Dr,
Dalton, GA 30720-2503
Ph: (706) 270-8008 | Carol Deniece Kistler,
1212 Broadrick Dr,
Dalton, GA 30720-2503
Ph: (706) 270-8008 |
Reviews and Comments