Individual
DR. KENNETH R KIERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
196 PARKWAY S, SUITE 302, WATERFORD, CT 06385-1234
(860) 447-1488
(860) 447-1489
Mailing address
196 PARKWAY S, SUITE 304, WATERFORD, CT 06385-1234
(860) 442-7027
(860) 444-0074
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
98
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
98
CT
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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