Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 27997 | AL |
NPI | 1013197649 |
---|---|
Provider Name | Jennifer L. Kiessling |
First Address | Huntsville, AL 35802-1676 |
Second Address | Huntsville, AL 35802-1676 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2007 |
Last Update Date | 10/09/2019 |