Individual
DR. JEFFREY MICHAEL KIERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
196 PARKWAY S, SUITE 302, WATERFORD, CT 06385-1234
(860) 447-1488
(860) 447-1489
Mailing address
196 PARKWAY S, SUITE 302, WATERFORD, CT 06385-1234
(860) 447-1488
(860) 447-1489
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000725
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008022294
—
CT
Enumeration date
03/27/2006
Last updated
03/08/2013
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