KEITH O KIELMEYER MD PROFESSIONAL CORPORATION
Ambulatory Health at Lane Ave, Fresno, CA

License number
California C35402
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. KEITH O KIELMEYER M.D.
Title: PRESIDENT
Phone: (559) 970-3411
Address
Address
5536 E Lane Ave, Fresno, CA 93727
National Provider ID: 1184878340
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEITH O. KIELMEYER, M.D., PROFESSIONAL CORPORATION

5536 E Ln Ave, Fresno, CA 93727

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
May 9, 1979
State ID:
C0918268
Business type:
Articles of Incorporation
President:
Keith O. Kielmeyer President, inactive
Agent:
Keith O Kielmeyer,Fresno, CA 93727 (Physical)

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