IndividualActive
Kevin Kistner, COMS
NPI 1548657976 · Technician/Technologist · Hines, IL
Provider details
- NPI number
- 1548657976
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Credential
- COMS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
5000 S 5th Ave
Hines, IL 60141-3030
Phone: (630) 202-2273
Approximate (ZIP-level) locationGet directions
Mailing address
97 N Ott Ave
Glen Ellyn, IL 60137-5633
Registry dates
- Enumerated
- 2015-04-23
- Last updated
- 2015-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.