Organization
PODIATRY CENTERS OF MEMPHIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN N KIEL DPM (PRESIDENT)
(901) 763-0461
Entity
Organization
Contact information
Practice address
995 S YATES RD, SUITE 2, MEMPHIS, TN 38119-0882
(901) 763-0461
(901) 681-9820
Mailing address
995 S YATES RD, SUITE 2, MEMPHIS, TN 38119-0882
(901) 763-0461
(901) 681-9820
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316931272
NPI BRIAN N. KIEL
—
01
—
1386639789
NPI DAVID M. MOINESTER
—
01
—
CC4980
RAILROAD MEDICARE
—
Enumeration date
05/27/2006
Last updated
11/02/2007
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