Individual
KEITH J KIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3628
(203) 852-2000
Mailing address
34 MAPLE ST, NORWALK, CT 06850
(203) 852-2000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
014383
NY
363AM0700X
Medical Physician Assistant
Primary
23.2727
CT
363AS0400X
Surgical Physician Assistant
014383
NY
363AS0400X
Surgical Physician Assistant
23.2727
CT
Other
Enumeration date
11/09/2010
Last updated
03/01/2018
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