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Individual
GEORGE S KIENLE
Active
Individual
GEORGE S KIENLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A8454
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7588391
CIGNA HEALTH CARE PIN
—
Enumeration date
10/25/2006
Last updated
12/13/2021
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