BRIDGET LYNN KISTNER

SPRINGFIELD, IL
NPI1649652728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: MO  2020011852)
Additional Taxonomies2085R0202X Radiology Diagnostic Radiology
(Licence: IL  036162130)
2085N0904X Radiology Nuclear Radiology
(Licence: IL  036162130)
Enumeration Date2015-06-24
Last Update Date2023-02-06
Business Address
DR. BRIDGET LYNN KISTNER MD
1025 S 6TH ST
SPRINGFIELD, IL 62703-2499
Phone number: 217-528-7541
Mailing Address
DR. BRIDGET LYNN KISTNER MD
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541