Individual
G. EDWARD KIENZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 INDUSTRIAL BLVD, SUITE 204, PAOLI, PA 19301-1607
(610) 647-1484
(610) 647-7068
Mailing address
17 INDUSTRIAL BLVD, SUITE 204, PAOLI, PA 19301-1607
(610) 647-1484
(610) 647-7068
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD007413E
PA
Other
Enumeration date
03/07/2006
Last updated
11/20/2007
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