Individual
NICHOLAI IAN KIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11141 PARKVIEW PLAZA DR, SUITE 320, FORT WAYNE, IN 46845-1713
(260) 482-8681
(260) 266-9240
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01073785A
IN
208800000X
Urology Physician
35125593
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119494
—
OH
05
—
201228420
—
IN
01
—
H411160
MEDICARE
OH
Enumeration date
03/24/2009
Last updated
10/02/2024
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