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NPI Verification

National Provider Identifier: 1003058546

Samuel Branch Kieley, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

6025 LAKE RD

SUITE 200

WOODBURY, MN 551251712

Phone: 651-999-6800

NPI Enumeration Date

March 30, 2009

NPI Number

1003058546

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry