Individual
MR. JOHN PETER KIELEY
Active
Individual
MR. JOHN PETER KIELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24317
MN
207R00000X
Internal Medicine Physician
Primary
37509
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401788
MEDICA
MN
01
—
110043935
RR MEDICARE
MN
05
—
616093000
—
MN
01
—
HP15533
HEALTH PARTNERS
MN
Enumeration date
07/20/2005
Last updated
01/11/2008
Update your record
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