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NPI Code Detail

MEDICARE: KILEY MIER

MEDICARE:   KILEY  MIER
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
1225X00000XOccupational TherapistOC014485PA

General Provider Information

NPI Number : 1811430424
Entity Type Code : Individual
Provider Name (Legal Business Name) : KILEY MIER
Provider Business Mailing Address
First Line : 2631 W 8TH ST
Second Line :
City : ERIE
State : PA
Zip : 16505-4034
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2631 W 8TH ST
Second Line :
City : ERIE
State : PA
Zip : 16505-4034
Country : US
Telephone Number : 814-464-0627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2016
Last Update Date : 11/30/2016

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Directions to “ KILEY MIER ” Practice Location

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