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Individual

JAMES DAVID KIELEK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7415
(443) 777-8342
Mailing address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7415
(443) 777-8342

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04887
MD

Other

Enumeration date
10/01/2012
Last updated
10/01/2012
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