Provider Demographics
NPI:1932840675
Name:KIEL, ROBERT EARL JR
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:EARL
Last Name:KIEL
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8611 BRANDON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTONN
Mailing Address - State:TX
Mailing Address - Zip Code:77051
Mailing Address - Country:US
Mailing Address - Phone:832-717-8445
Mailing Address - Fax:
Practice Address - Street 1:8911 BRANDON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-2307
Practice Address - Country:US
Practice Address - Phone:281-877-2409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14562287224ZR0403X, 225XR0403X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community Mobility
No224ZR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantDriving and Community Mobility