Individual
DR. BROCK PORTER KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4470
(256) 265-1000
Mailing address
29788 GLENROSE WAY, HARVEST, AL 35749-4111
(256) 656-0077
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-169121
AL
Other
Enumeration date
08/31/2021
Last updated
05/23/2024
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