Doctor Name: | MELISSA SCHLEEPER KIEL |
NPI Number: | 1750511242 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 036133106 |
Business Practice Address: | 3990 N Illinois St Swansea, IL - 622261919 |
Business Phone Number: | 6182771130 |
Business Fax Number: | 6182774917 |
Mailing Address: | 111 W Lincoln St, BELLEVILLE |
State: | IL |
Postal Code: | 622202019 |
Phone Number: | 6182341774 |
Fax Number: | 6182347979 |
NPI Enumeration Date: | 07/20/2009 |
NPI Last Update Date: | 07/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036133106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |