| Heather Kiel, Pllc | |
|
640 Romence Road Suite 211 Portage MI 49024 | |
| (269) 806-2270 | |
| Not Available |
| Full Name | Heather Kiel, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 640 Romence Road, Portage, Michigan |
| Authorized Official Name and Position | Heather Kiel (OWNER) |
| Authorized Official Contact | 2698062270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Kiel, Pllc 6749 S Westnedge Ave Ste K Portage MI 49002-3556 Ph: (269) 806-2270 | Heather Kiel, Pllc 640 Romence Road Suite 211 Portage MI 49024 Ph: (269) 806-2270 |
| NPI Number | 1609543388 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Certification Date | 08/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609543388 | NPI | - | NPPES |
| 1639566359 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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