DR. Kim Edward Thiele, D.O.

NPI #1043361629 in Kenai, Alaska

Provider Information

NPI Number: 1043361629
Entity Type: Individual
Name: DR. Kim Edward Thiele, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jan 12, 2007
Last Updated: Nov 20, 2019

Practice Location

Address: 36901 MALLARD RD
City: Kenai
State: Alaska
ZIP Code: 99611-6434
Phone: (907) 283-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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