NPI 1053620930

Cami Jo Kistenfeger, MPASPAC

Practitioner Physician Assistant South Bend, IN

Practice location

Address: 53880 Carmichael Dr, South Bend, IN 46635-1567
Phone: (574) 247-9441
Fax: (745) 247-9442
Mailing address: 3600 W Bethel Ave, Muncie, IN 47304-5407

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10004288A (IN)

Other Physician Assistant providers in Indiana →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085.003920 (IL)

Registry record

NPI: 1053620930
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2010
Record last updated: 3 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.