Individual
ERNEST ANTHONY KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF PEDIATRICS, SECTION OF CARDIOLOGY, SHREVEPORT, LA 71103-4228
(318) 675-8601
(318) 675-8872
Mailing address
1501 KINGS HWY, DEPARTMENT OF PEDIATRICS, SECTION OF CARDIOLOGY, SHREVEPORT, LA 71103-4228
(318) 675-8601
(318) 675-8872
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
11238R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1906972
—
LA
01
—
5W131F600
MEDICARE - PTAN
LA
Enumeration date
07/16/2006
Last updated
12/17/2013
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