Raymond S Kiertekles, PH.D.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

00942016 Issued in GA

Practice address

4989 Peachtree Parkway
Suite 200
Norcross, GA 30092

Phone

(678) 969-3379

Fax

(770) 248-0537

NPI assigned

Feb 20, 2012

Last updated

Feb 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1851664924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4989 PEACHTREE PARKWAY",
            "address_2": "SUITE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30092",
            "telephone_number": "678-969-3379",
            "fax_number": "770-248-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4989 PEACHTREE PARKWAY",
            "address_2": "SUITE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30092",
            "telephone_number": "678-969-3379",
            "fax_number": "770-248-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERTEKLES",
        "first_name": "RAYMOND",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "00942016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Kelly
• Donald Craig Kerley, PSY.D.
• Wardah Khalid, PA-C
• Melissa Tucker Khan, PA-C
• Viswanatha Kharidi, MD
• Ann Jungsun Kim, APRN
• Gene Young Kim
• June J Kim, DMD
• Martin Kim
• Sung Woo Kim

• Counselor in Norcross, GA
• Providers in Norcross, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.