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Individual

DR. STEPHEN LEWIS KISIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
42 SUMMER ST, SUITE 301, PITTSFIELD, MA 01201-4624
(413) 442-0085
(413) 464-9143
Mailing address
42 SUMMER ST, SUITE 301, PITTSFIELD, MA 01201-4624
(413) 442-0085
(413) 464-9143

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
12658
NH
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
1770
ME
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
223633
MA
207Q00000X
Family Medicine Physician
12658
NH
207Q00000X
Family Medicine Physician
1770
ME
207Q00000X
Family Medicine Physician
Primary
223633
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10100817
CDPHP
MA
01
214532
CIGNA
MA
01
233633
CONNECTICARE
MA
01
31730
BMC HEALTHNET PLAN
MA
01
37109
HEALTH NEW ENGLAND
MA
01
3958618
AETNA
MA
01
4146652
MVP/GOLUB
MA
01
486859
TUFTS
MA
05
9768190
MA
01
J28997
BCBS
MA
Enumeration date
07/18/2005
Last updated
03/15/2011
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