# JONATHAN KIEV MD PA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033433552
- **Authorized official:** JONATHAN KIEV M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (877) 503-2609

## Contact information

- **Practice address:** 2002 MEDICAL PKWY, STE 660, ANNAPOLIS, MD 21401-3046
- **Practice address phone:** (877) 503-2609
- **Practice address fax:** (410) 286-5442
- **Mailing address:** PO BOX 669, EDGEWATER, MD 21037-0669
- **Mailing address phone:** (877) 503-2609
- **Mailing address fax:** (410) 286-5442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | D0066881 | MD | Yes |

## Other

- **Enumeration date:** 03/26/2010
- **Last updated:** 05/12/2010