Individual
MICHAEL KIELMANOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2600
(660) 562-7994
Mailing address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2600
(660) 562-7994
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2025030433
MO
Other
Enumeration date
04/19/2021
Last updated
09/03/2025
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