Individual
STUART NEIL KIERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 CLINT MOORE RD #120, BOCA RATON, FL 33487-5712
(561) 939-0300
(561) 939-0339
Mailing address
1601 CLINT MOORE RD #120, BOCA RATON, FL 33487-5712
(406) 375-9310
(406) 375-9305
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10272
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000095765
BLUE CROSS BLUE SHIELD
MT
05
—
0064740
—
MT
Enumeration date
10/20/2006
Last updated
09/16/2024
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