Provider Demographics
NPI:1699030783
Name:KIEL VETERINARY CLINIC
Entity Type:Organization
Organization Name:KIEL VETERINARY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHUETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:920-894-3414
Mailing Address - Street 1:575 BELITZ DR
Mailing Address - Street 2:
Mailing Address - City:KIEL
Mailing Address - State:WI
Mailing Address - Zip Code:53042-1577
Mailing Address - Country:US
Mailing Address - Phone:920-894-3414
Mailing Address - Fax:920-894-7815
Practice Address - Street 1:575 BELITZ DR
Practice Address - Street 2:
Practice Address - City:KIEL
Practice Address - State:WI
Practice Address - Zip Code:53042-1577
Practice Address - Country:US
Practice Address - Phone:920-894-3414
Practice Address - Fax:920-894-7815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-05
Last Update Date:2012-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2467284300000X
WI6647284300000X
WI6854284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital