| Doctor Name: | DR. STEPHEN LEWIS KISIEL |
| NPI Number: | 1043219470 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 223633 |
| Business Practice Address: | 42 Summer St Suite 301 Pittsfield, MA - 012014624 |
| Business Phone Number: | 4134420085 |
| Business Fax Number: | 4134649143 |
| Mailing Address: | 42 Summer St, Suite 301 PITTSFIELD |
| State: | MA |
| Postal Code: | 012014624 |
| Phone Number: | 4134420085 |
| Fax Number: | 4134649143 |
| NPI Enumeration Date: | 07/18/2005 |
| NPI Last Update Date: | 03/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 223633 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |