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KISTLER, JOHN PHILIP       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: MASSACHUSETTS GENERAL HOSP.
BURNHAM 802
FRUIT ST.
BOSTON MA 02114

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 9379
Dated: 12/10/1970
Expires: 12/1/2000
License Type: Medical Doctor
Specialty: Neurology
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduated: / 1964
CME Year: 2000
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MASSACHUSETTS GENERAL HOSP.
BURNHAM 802
FRUIT ST.
BOSTON MA 02114

Phone #:
Fax #:

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