Individual
CAROL ANN KIESLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
390 CALLE DE ALEGRA, LAS CRUCES, NM 88005-3280
(575) 556-8200
(575) 556-8180
Mailing address
385 CALLE DE ALEGRA, BLDG. A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J4263
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2003-0781
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096776202
—
TX
05
—
L6571
—
NM
Enumeration date
11/30/2006
Last updated
02/29/2016
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