NPI 1093896094

Stacey Marie Kisting, DC

Practitioner Chiropractor Moline, IL

Practice location

Address: 3450 38th Ave STE 4, Moline, IL 61265-6409
Phone: (309) 764-7200
Fax: (309) 764-7750
Mailing address: 5313 11th Avenue B, Moline, IL 61265-2866

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1093896094
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2006
Record last updated: 8 Jul 2007

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.