Provider Demographics
NPI:1326260167
Name:KIELAR, CASMIR MICHAL (MD)
Entity Type:Individual
Prefix:DR
First Name:CASMIR
Middle Name:MICHAL
Last Name:KIELAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 FARRAR DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-8747
Mailing Address - Country:US
Mailing Address - Phone:843-347-9587
Mailing Address - Fax:843-347-9633
Practice Address - Street 1:822 FARRAR DR
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-8747
Practice Address - Country:US
Practice Address - Phone:843-347-9587
Practice Address - Fax:843-347-9633
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6557207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC20-06557OtherSC CONTROLLED ACT
SC20-06557OtherSC CONTROLLED ACT
SC20-06557OtherSC CONTROLLED ACT