Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caleb Kiesow, MD

Individual provider Family Medicine Physician · NPI 1033704226

Caleb Kiesow, MD is a Family Medicine Physician in Eglin AFB, Florida. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

307 Boatner Rd
Eglin AFB, FL 32542-1282
Phone: (850) 883-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2023007981 (MO)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 2023007981 (MO)

Record details

NPI number1033704226
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 9, 2021
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address307 Boatner Rd, Eglin Afb, FL 32542-1282

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