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

Mr. Frederick Otto Kist

Individual provider Contractor · NPI 1366450769

Mr. Frederick Otto Kist is a Contractor in Inverness, Illinois. Practices as a sole proprietor. Registered with an NPI since 2006.

In the registry since
2006
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Practice location Address checks out

1615 Pheasant Trl
Inverness, IL 60067-4619
Phone: (847) 358-6526
Fax: (847) 358-6536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1366450769
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 3, 2006
Last updated in NPPESJuly 8, 2007