Brently C Kiesling

NPI #1568262558 in Nowata, Oklahoma

Provider Information

NPI Number: 1568262558
Entity Type: Individual
Name: Brently C Kiesling
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Mar 18, 2025
Last Updated: Mar 18, 2025

Practice Location

Address: 544 S PINE ST
City: Nowata
State: Oklahoma
ZIP Code: 74048-4020
Phone: (918) 915-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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