Individual
DAVID J. KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-3000
Mailing address
16 WOODLAND TRL, ROCHESTER, IL 62563-9555
(217) 820-3121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-073228
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036073228
—
IL
Enumeration date
09/20/2006
Last updated
07/21/2022
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