Doctor Name: | MS. LAURA MARIE KIELB |
NPI Number: | 1720315047 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 871299 |
Business Practice Address: | 201 Chestnut Hill Rd Stafford Springs, CT - 060764005 |
Business Phone Number: | 8606848431 |
Business Fax Number: | |
Mailing Address: | Po Box 789, LUDLOW |
State: | MA |
Postal Code: | 010560789 |
Phone Number: | 4135091000 |
Fax Number: | 4135091003 |
NPI Enumeration Date: | 11/06/2009 |
NPI Last Update Date: | 03/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146N00000X |
License Number: | 871299 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Basic |
Taxonomy Specialization: | |
Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |