Most Relevant Information
Provider Data
| NPI Number: | 1003058546 |
| Provider Name: | SAMUEL BRANCH KIELEY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208800000X |
| Specialty: | Urology |
| License Number: | 56349 |
Most Important Dates
| Enumeration Date: | 03/30/2009 |
| Last Updated: | 09/12/2013 |
Provider Practice Location
6025 LAKE RD
SUITE 200
WOODBURY
MN
551251712
Practice Location Phone/Fax
| Phone: | 6519996800 |
| Fax: | 6519996830 |
Provider Mailing Location
6025 LAKE RD
SUITE 200
WOODBURY
MN
551251712
Provider Mailing Phone/Fax
| Phone: | 6519996800 |
| Fax: | 6519996830 |
Suggested EMR
Urologist EMR