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Search › North Carolina › 363A00000X

Theodore Kistemaker, PA-C

NPI 1770523557 · on the registry since 2006

Practice

Address
3333 Brookview Hills Blvd
Ste 207
Winston Salem, NC 27103
Phone
(336) 765-5250
Fax
(336) 659-0953
Organisation at this address
Bourret Inc
Regional Physicians Llc
Regional Physicians Llc
Central Piedmont Retina
Central Triad Retina, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina