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General NPI Number Information
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NPI Number | 1982590857
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Entity Type | Organization
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Legal Business Name | KIMBERLY KIESLING LLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 311 S CRAIG ST STE 2D
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City | PITTSBURGH
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State | PA
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Zip | 15213-3746
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Country | US
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Telephone | 412-980-5415
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Fax |
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Provider Business Mailing Address
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Address Line | 121 WISHART DR
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City | BEAVER
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State | PA
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Zip | 15009-9526
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Country | US
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Telephone | 412-980-5415
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | KIMBERLY KIESLING
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Credential |
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Telephone | 412-980-5415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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