Individual
MS. LAURA MARIE KIELB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 CHESTNUT HILL RD, STAFFORD SPRINGS, CT 06076-4005
(860) 684-8431
Mailing address
PO BOX 789, LUDLOW, MA 01056-0789
(413) 509-1000
(413) 509-1003
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
871299
MA
363A00000X
Physician Assistant
Primary
002332
CT
Other
Enumeration date
11/06/2009
Last updated
03/29/2010
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