Individual
JAMES DAVID KIELEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9101 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3936
(443) 777-2002
(443) 777-2034
Mailing address
1230 LANDOVER RD, BALTIMORE, MD 21237-2922
(410) 574-5943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C00616
MD
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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