Organization
JONATHAN KIEV MD PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN KIEV M.D. (PHYSICIAN/OWNER)
(877) 503-2609
Entity
Organization
Contact information
Practice address
2002 MEDICAL PKWY, STE 660, ANNAPOLIS, MD 21401-3046
(877) 503-2609
(410) 286-5442
Mailing address
PO BOX 669, EDGEWATER, MD 21037-0669
(877) 503-2609
(410) 286-5442
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D0066881
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407175100
—
MD
Enumeration date
03/26/2010
Last updated
05/12/2010
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