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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAUREL KIETZMAN, MD

Active

LAUREL KIETZMAN, MD is a Emergency Medicine healthcare provider located in PONTIAC, Illinois. NPI 1336331222 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · PONTIAC, IL

Registration Details

NPI Number
1336331222
Provider Type
Individual
Gender
Female
NPI Issued
Aug 14, 2007 (19.034500594069 yrs)
Last Updated
Jul 24, 2024
License
036119129 (IL)

Practice Information

Address
2500 W REYNOLDS ST
PONTIAC, IL, 617649774
Browse IL providers · Browse ZIP 61764
Phone
8158422828
Primary Specialty
Emergency Medicine
207P00000X

Other Emergency Medicine Providers in PONTIAC, IL

Name Credential NPI
DR. VANESSA L PITTS M.D. 1588691687
RICHARD RUFF D.O. 1215954839
DANIEL BUTTERBACH M.D. 1861419327
KENNETH VELEZ MD 1508889908
KRISTINA L MORGAN D.O. 1538424098
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.