Provider Demographics
NPI:1194922120
Name:KIES, DARREN DAVID (MD)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:DAVID
Last Name:KIES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1364 CLIFTON RD NE, EMORY UNIV. HOSPITAL
Mailing Address - Street 2:DEPT OF RADIOLOGY, DIVISION OF INTERVENTIONAL RADIOLOGY
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322
Mailing Address - Country:US
Mailing Address - Phone:404-712-7033
Mailing Address - Fax:404-712-7970
Practice Address - Street 1:1364 CLIFTON RD NE, EMORY UNIV. HOSPITAL
Practice Address - Street 2:DEPT OF RADIOLOGY, DIVISION OF INTERVENTIONAL RADIOLOGY
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-712-7033
Practice Address - Fax:404-712-7970
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA676642085R0202X, 2085R0204X
NC135300390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program