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Organization

KIERAN SURGICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OWEN ROBERT KIERAN DO (PRESIDENT)
(646) 717-0502
Entity
Organization

Contact information

Practice address
1058 BANKS ROSE ST, CELEBRATION, FL 34747-4839
(646) 717-0502
Mailing address
1058 BANKS ROSE ST, CELEBRATION, FL 34747-4839
(646) 717-0502

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
02/07/2022
Last updated
02/07/2022
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