Individual provider · Type 1 NPI

Frederick Otto Kist

Contractor · Inverness, IL

NPI number 1366450769 Active

Practice location

1615 Pheasant Trl
Inverness, IL 60067-4619

Fax (847) 358-6536

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

About NPI 1366450769

Frederick Otto Kist's National Provider Identifier is 1366450769, issued on Aug 3, 2006. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Inverness, IL. The record was last updated on Jul 8, 2007.