Individual
ROBERT KIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N 17TH ST, SUITE 200, ALLENTOWN, PA 18104
(610) 433-2021
(610) 433-7856
Mailing address
400 N 17TH STREET, SUITE 200, ALLENTOWN, PA 18104
(610) 433-2021
(610) 433-7856
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
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