Provider Demographics
NPI:1215017256
Name:KIEL, NANCY C (DC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:C
Last Name:KIEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:746 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-3519
Mailing Address - Country:US
Mailing Address - Phone:973-378-3232
Mailing Address - Fax:973-378-8149
Practice Address - Street 1:746 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-3519
Practice Address - Country:US
Practice Address - Phone:973-378-3232
Practice Address - Fax:973-378-8149
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00649500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor