Kim Thiele, Do, PC

NPI #1972894418 in Kenai, Alaska

Provider Information

NPI Number
1972894418
Entity Type
Organization
Organization Name
Kim Thiele, Do, PC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
May 2, 2011
Last Updated
May 2, 2011

Practice Location

Address
105 TRADING BAY DR
Address 2
SUITE 105
City
Kenai
State
Alaska
ZIP Code
99611-7717
Phone
(907) 242-9000

Authorized Official

Name
DR. KIM E THIELE, DO
Title
EXECUTIVE OFFICER
Phone
(907) 242-9000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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