Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carol Deniece Kistler

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1003632621

Carol Deniece Kistler is a Physical Medicine & Rehabilitation Physician in Dalton, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1212 Broadrick Dr
Dalton, GA 30720-2503
Phone: (706) 270-8008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 000345 (GA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 0003.45 (GA)

Record details

NPI number1003632621
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 27, 2024
Last updated in NPPESNovember 27, 2024
Certification dateNovember 22, 2024
Mailing address1212 Broadrick Dr, Dalton, GA 30720-2503

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