Individual
DR. CHARLES STEVEN KIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5255 E STOP 11 RD STE 200, INDIANAPOLIS, IN 46237-6341
(317) 528-1212
(317) 528-1252
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01072900A
IN
2086S0129X
Vascular Surgery Physician
Primary
01072900A
IN
2086X0206X
Surgical Oncology Physician
01072900A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020032139
RAIL ROAD MEDICARE
NC
01
—
280000
MAMSI
NC
01
—
48921
BLUE CROSS BLUE SHIELD NC
NC
01
—
657768
FIRST HEALTH
NC
05
—
8948921
—
NC
01
—
9834
PARTNERS
NC
01
—
A8803
MEDCOST
NC
Enumeration date
04/09/2006
Last updated
04/15/2025
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