Individual
LAURENE M KIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 E STATE ST, ALLIANCE, OH 44601-4936
(330) 829-4000
(330) 829-4533
Mailing address
200 EAST STATE STREET, ALLIANCE, OH 44601-4936
(330) 596-6000
(330) 596-7214
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA04132NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000296848
ANTHEM
—
05
—
2096404
—
OH
01
—
430077555
MEDICARE RAILROAD
—
Enumeration date
06/24/2006
Last updated
11/04/2020
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