Individual
BRYCE KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(217) 288-5711
Mailing address
604 SOMERSET DR, PONTOON BEACH, IL 62040-6923
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209010185
IL
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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