| Physician Last Name: | Kiewe |
| Physician First Name: | Randy |
| Physician Middle Name: | Paul |
| Address: | Address Redacted |
| License Number: | 206899 |
| License Type: | MD |
| Year of Birth: |
1968
|
| Effective Date: | 01/04/2021 |
| Action Description for DOH Webpage: | Temporary surrender of the physician’s New York State medical license issued pursuant to New York State Public Health Law Section 230.13. |
| Misconduct Description for DOH Webpage: | This action is not disciplinary in nature. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
|