Individual
MR. MARK KIEH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
2326 MORRIS ST, PHILADELPHIA, PA 19145-1823
(610) 755-7601
Mailing address
2326 MORRIS ST, PHILADELPHIA, PA 19145-1823
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
RN732506
PA
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/15/2024
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