Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIM EDWARD THIELE, D.O.
Active Sole ProprietorDR. KIM EDWARD THIELE, D.O. is a Family Medicine healthcare provider located in KENAI, Alaska. NPI 1043361629 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · KENAI, AK
Registration Details
- NPI Number
- 1043361629
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2007 (19.543514514764 yrs)
- Last Updated
- Nov 20, 2019
- License
-
MEDO4125 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
36901 MALLARD RDKENAI, AK, 996116434Browse AK providers · Browse ZIP 99611
- Phone
- 9072835000
- Fax
- 9072835013
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in KENAI, AK
| Name | Credential | NPI |
|---|---|---|
| DR. TERRI LEE ELLIOTT | D.O. | 1316932031 |
| ANN DOBERSTEIN | MD | 1699765206 |
| MR. RAY LYNN CARLSON | M.D. | 1114077468 |
| DR. ANN KATHRYN-MEYER HUPE | DO | 1154471910 |
| DR. KEVIN ARTHUR RULLMAN | DO | 1497809669 |
| DR. SAMUEL HERMAN SCHURIG | D.O. | 1043496268 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.