Jude Kieltyka M.D.

NPI 1639465776 - Emergency Medicine - 207P00000X

NPI Details
NPI 1639465776
Gender Male
Enumeration Date 06/28/2011
Last Updated 05/27/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
600 GRANT ST
GARY IN, 46402-6001, US
Phone (847) 571-2551
Fax
Business Location
600 GRANT ST
GARY IN, 46402-6001, US
Phone (847) 571-2551
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Illinois
License Number 125059133
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According to our database, Dr. Jude Kieltyka M.D. NPI is 1639465776, taxonomy code is 207P00000X and license number is 125059133, license state is located at Illinois. Jude Kieltyka M.D. physically located at 600 Grant St, Gary IN, 46402-6001. NPI Number Jude Kieltyka M.D. has the Individual type.

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1639465776 NPI number is provided on an as is basis without warranty of any kind. 1639465776 is maintained by the National Plan & Provider Enumeration System. The contents of Jude Kieltyka M.D. are for informational purposes only.