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Individual

SEAN ALTON KIESEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2947 E 1450 S, ST GEORGE, UT 84790-7372
(435) 688-3400
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12375529-1204
UT
207Q00000X
Family Medicine Physician
DO3416
NV

Other

Enumeration date
03/24/2020
Last updated
11/25/2025
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