Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A109756 | CA |
N | 111NI0900X | Internist | A109756 | CA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A109756 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | A109756 | CA |
NPI | 1073846747 |
---|---|
Provider Name | Dr. Richard George Kiel |
First Address | Fresno, CA 93721-1431 |
Second Address | Fresno, CA 93701-2211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2009 |
Last Update Date | 08/06/2021 |