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Organization

KEITH O KIELMEYER MD PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH O KIELMEYER M.D. (PRESIDENT)
(559) 970-3411
Entity
Organization

Contact information

Practice address
5536 E LANE AVE, FRESNO, CA 93727-5336
(559) 970-3411
Mailing address
5536 E LANE AVE, FRESNO, CA 93727-5336
(559) 970-3411

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
C35402
CA

Other

Enumeration date
11/13/2008
Last updated
05/26/2009
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