Provider Demographics
NPI:1609080506
Name:KIEL, STEVEN MARC (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:MARC
Last Name:KIEL
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 1:401 EMMA ST
Mailing Address - Street 2:APT D
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-8351
Mailing Address - Country:US
Mailing Address - Phone:305-292-3640
Mailing Address - Fax:
Practice Address - Street 1:401 EMMA ST
Practice Address - Street 2:APT D
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-8351
Practice Address - Country:US
Practice Address - Phone:305-292-3640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME899032084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology