Individual
DR. RICHARD L. KIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
64 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-5265
(573) 334-3648
Mailing address
64 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-5265
(573) 334-3648
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036092978
IL
207W00000X
Ophthalmology Physician
Primary
R9461
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10032015
BLUECROSS BLUESHIELD
IL
01
—
115157
HEALTHLINK
IL
01
—
115157
HEALTHLINK
—
01
—
133468
UNITED HEALTHCARE
MO
01
—
145920
HEALTH ALLIANCE
MO
01
—
334132
GROUP HEALTH PLAN
MO
05
—
507464709
—
MO
01
—
863002
FIRST HEALTH
MO
01
—
9206
BLUE CROSS BLUE SHIELD
MO
Enumeration date
03/08/2006
Last updated
08/06/2010
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