Individual
CRIAG LAWRENCE KIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 656-9092
Mailing address
371 S BAY CIR, COLCHESTER, VT 05446-3890
(802) 862-9728
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02632373
—
NY
05
—
1010936
—
VT
Enumeration date
10/19/2006
Last updated
07/08/2007
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