Provider Demographics
NPI:1750479424
Name:KIEHLMEIER, SCOTT L (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:L
Last Name:KIEHLMEIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-342-2472
Mailing Address - Fax:856-968-8414
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 200
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-2472
Practice Address - Fax:856-968-8414
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA076047208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1537778OtherPENNSYLVANIA BLUE SHIELD
NJ2222443000OtherAMERIHEALTH HMO
NJ1107989OtherAENTA US -HEALTHCARE
NJ1537778OtherAMERIHEALTH PPO
NJ1107996OtherAETNA US -HEALTHCARE
NJ36940OtherUNIVERSITY HEALTH PLAN
NJ0024929Medicaid
NJ1932424OtherUNITED HEALTH CARE
NJ2248846OtherCIGNA
NJ010007777OtherAMERICHOICE
NJ1107968OtherAETNA US-HEALTH CARE
NJ60023286OtherHORIZON NJ HEALTH
NJ7741574/1774288OtherAETNA US HEALTHCARE
NJ3K6024OtherHEALTHNET, INC
NJP3667478OtherOXFORD HEALTH PLAN D
NJ09733 MB5Medicare PIN
NJ3K6024OtherHEALTHNET, INC