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1063180461
BROCK PORTER KIEL
HUNTSVILLE, AL
NPI
1063180461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-169121)
Enumeration Date
2021-08-31
Last Update Date
2024-05-23
Business Address
Dr. BROCK PORTER KIEL DNP, CRNA
101 SIVLEY RD SW
HUNTSVILLE, AL 35801-4470
Phone number: 256-265-1000
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Mailing Address
Dr. BROCK PORTER KIEL DNP, CRNA
29788 GLENROSE WAY
HARVEST, AL 35749-4111
Phone number: 256-656-0077
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