Individual
BRYAN J KIELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
2727 ALDER CREEK DR N APT 1, NORTH TONAWANDA, NY 14120-1070
(716) 461-4293
Mailing address
2727 ALDER CREEK DR N APT 1, NORTH TONAWANDA, NY 14120-1070
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
449533
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
449533
EMT-B
NY
Enumeration date
08/01/2017
Last updated
08/01/2017
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