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Contact Information

LAURA M KIELB
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT06076-4005
 Phone: 860-684-8431
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for LAURA M KIELB · (Female)

NPI Number 1720315047
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2009
Last updated 03/29/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 002332
  • MA License # 871299
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
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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