Organization
KIELLE MEDICAL LIMITED LIABILITY COMPANY
Active
Organization
KIELLE MEDICAL LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KITONGA KIMINYO MD (EMPLOYEE)
(561) 767-0903
Entity
Organization
Contact information
Practice address
5988 DUCKWEED RD, LAKE WORTH, FL 33449-5810
(561) 767-0903
Mailing address
5988 DUCKWEED RD, LAKE WORTH, FL 33449-5810
(561) 767-0903
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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