| Doctor Name: | CAROL ANN KIESLING |
| NPI Number: | 1912075847 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | J4263 |
| Business Practice Address: | 390 Calle De Alegra Las Cruces, NM - 880053280 |
| Business Phone Number: | 5755568200 |
| Business Fax Number: | 5755568180 |
| Mailing Address: | 385 Calle De Alegra, Bldg. A LAS CRUCES |
| State: | NM |
| Postal Code: | 880053423 |
| Phone Number: | 5755261105 |
| Fax Number: | 5755244266 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 02/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | J4263 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| 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. |