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Contact Information

TAEGEE KIEHM, MD
5215 HOLY CROSS PARKWAY
MISHAWAKA, IN46545-1469
 Phone: 574-237-7168
 Fax: 574-472-6262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for TAEGEE KIEHM · (Male)

NPI Number 1780671883
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2005
Last updated 12/17/2009 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01027437
  • IN License # 01027437A
  • IN Medicaid 100222770
  • IN Other 000000612786 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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