Kieley, Samuel Branch

Kieley, Samuel Branch is an individual health care provider with primary practice located at 6025 Lake Rd Suite 200, Woodbury MN 55125-1712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kieley, Samuel Branch can be contacted via phone (651) 999-6800.

Contact Information

Primary practice address
6025 Lake Rd Suite 200 Woodbury MN 55125-1712
Fax: (651) 999-6830
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 56349 Minnesota

Profile Details

NPI number 1003058546
LBN Legal business name Kieley, Samuel Branch
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2009
Last updated Sep 12th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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