Individual
DR. STEPHEN P KIESELBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3408-1 VIRGINIA AVE., COLLINSVILLE, VA 24078
(276) 647-1903
(276) 647-1903
Mailing address
3408-1 VIRGINIA AVE., COLLINSVILLE, VA 24078
(276) 647-1903
(276) 647-1903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556547
VA
111N00000X
Chiropractor
975
WV
111N00000X
Chiropractor
CH8700
FL
Other
Enumeration date
07/24/2006
Last updated
04/13/2018
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