Individual
BRUCE J KIESSLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 LAKE OTIS PKWY, STE. 322, ANCHORAGE, AK 99508-5222
(907) 562-1234
(907) 561-8550
Mailing address
2440 E TUDOR RD, PMB 1168, ANCHORAGE, AK 99507-1185
(907) 646-2559
(907) 562-1319
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1224
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1224
LICENSE
AK
05
—
MD1224
—
AK
Enumeration date
04/17/2006
Last updated
03/07/2023
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