Individual
MR. CHRISTOPHER JOHN KIESOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3458 NEELY RD, 305TH MEDICAL GROUP, MC GUIRE AFB, NJ 08641-5312
(609) 754-9146
(609) 754-9662
Mailing address
24 DOVER RD, WESTAMPTON, NJ 08060-2353
(609) 261-0248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
21766
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/18/2005
Last updated
06/29/2023
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