Whalio Doctors

NPI 1003058546

Samuel Branch Kieley, MD

Practitioner Urology Physician Woodbury, MN

Practice location

Address
6025 Lake Rd Suite 200, Woodbury, MN 55125-1712
Phone
(651) 999-6800
Fax
(651) 999-6830

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 56349 (MN)

Registry record

NPI
1003058546
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Mar 2009
Record last updated
12 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.