Individual
DR. JOHN MICHAEL KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
DEPARTMENT OF EMERGENCY MEDICINE, 125 FLOOR CLINICAL CE, 655 WEST 8TH STREET, C506, JACKSONVILLE, FL 32209-3220
(904) 244-6340
Mailing address
DEPARTMENT OF EMERGENCY MEDICINE, 655 WEST 8TH STREET, C506, JACKSONVILLE, FL 32209-3504
(904) 244-6340
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04183
KY
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
OS15506
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
TP002
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100401000
—
FL
01
—
T3Q4W
BCBS
FL
Enumeration date
05/06/2014
Last updated
01/18/2024
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