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Individual

DR. MARK W KIEHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
46088
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
018545
KAISER COMMERCIAL NUMBER
CO
05
34637800
WI
05
35553588
CO
Enumeration date
03/07/2006
Last updated
06/22/2021
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