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NPI Code Detail

MEDICARE: INGRID KIEHL

MEDICARE: INGRID KIEHL
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
12084P0804XChild & Adolescent Psychiatry Physician2025-01213NC
22084P0804XChild & Adolescent Psychiatry Physician292785MA

General Provider Information

NPI Number : 1538629969
Entity Type Code : Individual
Provider Name (Legal Business Name) : INGRID KIEHL
Provider Business Mailing Address
First Line : 310 N FRONT ST STE 4
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-5082
Country : US
Telephone Number : 910-208-6005
Fax Number :
Provider Business Practice Location Address
First Line : 396 WASHINGTON ST # 266
Second Line :
City : WELLESLEY HILLS
State : MA
Zip : 02481-6209
Country : US
Telephone Number : 855-438-8331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2019
Last Update Date : 06/02/2026

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Directions to “ INGRID KIEHL ” Practice Location

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