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

Dr. Robert L Kistner Jr., MD

Individual provider Specialist · NPI 1063404572

Dr. Robert L Kistner Jr., MD is a General Surgery in Bullhead City, Arizona. Graduated from University of Cincinnati College of Medicine in 1986, 40 years ago. Practices with Camden-Clark Physician Corporation, a 346-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Ohio.

Years since qualifying
40
Trained at
University of Cincinnati College of Medicine
Licensed in
AZ, OH
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2755 Silver Creek Rd Ste 111
Bullhead City, AZ 86442-8343
Phone: (928) 704-7163
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1909 E Ray Rd Ste 9-154, Chandler, AZ 85225-8735 — (480) 706-6151

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 35056109 (OH)
Specialist Taxonomy 174400000X · Licence AZ20804 (AZ)

Record details

NPI number1063404572
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 19, 2005
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Camden-Clark Physician Corporation — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bullhead City