Individual
ROBERT KIESEL
Active
Individual
ROBERT KIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD007162E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015861
BLUE SHIELD
PA
01
—
50025517
BLUE CROSS
PA
Enumeration date
11/01/2006
Last updated
07/08/2007
Update your record
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