Provider Demographics
NPI:1982590857
Name:KIMBERLY KIESLING LLC
Entity type:Organization
Organization Name:KIMBERLY KIESLING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIESLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-980-5415
Mailing Address - Street 1:121 WISHART DR
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-9526
Mailing Address - Country:US
Mailing Address - Phone:412-980-5415
Mailing Address - Fax:
Practice Address - Street 1:311 S CRAIG ST STE 2D
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3746
Practice Address - Country:US
Practice Address - Phone:412-980-5415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)