Individual
DAVID R. KIELAR
Active
Individual
DAVID R. KIELAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34527
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP#
KY
01
—
4000501
MEDICARE LAB GROUP#
KY
05
—
64354277
—
KY
01
—
CB5773
RR MEDICARE GROUP#
GA
Enumeration date
07/14/2006
Last updated
11/02/2007
Update your record
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