Individual
DR. SAMUEL BRANCH KIELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6025 LAKE RD, SUITE 200, WOODBURY, MN 55125-1712
(651) 999-6800
(651) 999-6830
Mailing address
6025 LAKE RD, SUITE 200, WOODBURY, MN 55125-1712
(651) 999-6800
(651) 999-6830
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
56349
MN
Other
Enumeration date
03/30/2009
Last updated
09/12/2013
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