Provider Demographics
NPI:1003426495
Name:KIELA, ERICA DANIELLE (DC)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:DANIELLE
Last Name:KIELA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 N OAKLAND AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:WI
Mailing Address - Zip Code:53211-2746
Mailing Address - Country:US
Mailing Address - Phone:414-962-0700
Mailing Address - Fax:414-271-1727
Practice Address - Street 1:3510 N OAKLAND AVE STE 201
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:WI
Practice Address - Zip Code:53211-2746
Practice Address - Country:US
Practice Address - Phone:414-962-0700
Practice Address - Fax:414-271-1727
Is Sole Proprietor?:No
Enumeration Date:2020-07-31
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5549-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor