| NPI | 1619162229 |
|---|---|
| Doing Business As | KIESAU GYNECOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director Of Provider Enrollment 615-465-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |