Individual
BRIAN KIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
364 MAIN ST, CONNEAUT, OH 44030-2631
(440) 593-6258
Mailing address
830 W 51ST ST, ERIE, PA 16509-2518
(814) 897-6463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
06014993
OH
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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