Individual
KARL D KIEBURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
919 WESTFALL RD, BLDG C, SUITE 220, ROCHESTER, NY 14618-2638
(585) 341-7500
(585) 341-7510
Mailing address
601 ELMWOOD AVE, BOX 278984, ROCHESTER, NY 14642-0001
(585) 341-7500
(585) 341-7510
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
164140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01259425
—
NY
Enumeration date
08/19/2006
Last updated
07/18/2012
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