Individual
BRIAN NORMAN KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1068 CRESTHAVEN RD STE 110, MEMPHIS, TN 38119-0845
(901) 767-5620
(901) 763-4326
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 866-8864
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
DPM152
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00935578
—
MS
05
—
1316931272
—
MO
05
—
220570717
—
AR
05
—
3350519
—
TN
05
—
3351646
—
TN
Enumeration date
09/07/2005
Last updated
02/25/2025
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