Provider Demographics
NPI:1871040246
Name:KIELUR, DEVIN STEVEN (DAT, LAT, ATC)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:STEVEN
Last Name:KIELUR
Suffix:
Gender:M
Credentials:DAT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 FRANCIS WAY
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15071-3048
Mailing Address - Country:US
Mailing Address - Phone:412-926-6413
Mailing Address - Fax:
Practice Address - Street 1:1323 FRANCIS WAY
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:PA
Practice Address - Zip Code:15071-3048
Practice Address - Country:US
Practice Address - Phone:412-926-6413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-02
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2255A2300X
PART0066952255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer