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NPI Code Detail

MEDICARE: KIERA ANNE KINGSTON MD

MEDICARE: KIERA ANNE KINGSTON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician036171386IL
2207X00000XOrthopaedic Surgery Physician1013290MA
3207X00000XOrthopaedic Surgery Physician315923NY
4207X00000XOrthopaedic Surgery Physician125070159IL

General Provider Information

NPI Number : 1609303254
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIERA ANNE KINGSTON MD
Provider Business Mailing Address
First Line : 4901 SEARLE PKWY
Second Line :
City : SKOKIE
State : IL
Zip : 60077-5313
Country : US
Telephone Number : 847-982-6710
Fax Number :
Provider Business Practice Location Address
First Line : 6141 N CICERO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60646-4303
Country : US
Telephone Number : 847-866-7846
Fax Number : 773-907-7760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2017
Last Update Date : 08/05/2024

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