Kieca Md Pllc

NPI 1013103373 - Clinic/Center - 261QP2300X

NPI Details
NPI 1013103373
Enumeration Date 09/20/2007
Last Updated 01/16/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JENNIFER KIECA JENNIFER
Position OWNER
Phone (970) 874-4473
Fax (970) 874-8681
Practice Location
2050 SOUTH MAIN
UNIT B
DELTA CO, 81416, US
Phone (970) 874-4473
Fax (970) 874-8681
Business Location
105 SE FRONTIER AVE
SUITE A-1
CEDAREDGE CO, 81413-4020, US
Phone (970) 856-3747
Fax (970) 856-4814
Toxanomy
Taxonomy Code 261QP2300X
License State Colorado
License Number 40224
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According to our database, Kieca Md Pllc NPI is 1013103373, taxonomy code is 261QP2300X and license number is 40224, license state is located at Colorado. Kieca Md Pllc physically located at 2050 South Main, Delta CO, 81416. NPI Number 1033115704 has the healthcare provider type.

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1013103373 NPI number is provided on an as is basis without warranty of any kind. 1013103373 is maintained by the National Plan & Provider Enumeration System. The contents of Kieca Md Pllc are for informational purposes only.