Individual
DR. CARTER DAVID KIESAU
Active
Individual
DR. CARTER DAVID KIESAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2009-00916
NC
207X00000X
Orthopaedic Surgery Physician
80869
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
MD60125328
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169KI
REGENCE
WA
01
—
0261214
L&I AND CRIME VICTIMS
WA
05
—
1972703908
—
WA
05
—
G8893183
—
WA
Enumeration date
07/18/2007
Last updated
11/19/2010
Update your record
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