Kiernan, Jaclyn A
Kiernan, Jaclyn A is an sole proprietor health care provider with primary practice located at 496 Smithtown Byp Ste 204 , Smithtown NY 11787-5011. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Kiernan, Jaclyn A can be contacted via phone (631) 371-3825.Contact Information
Primary practice address
496 Smithtown Byp Ste 204
Smithtown NY 11787-5011
Phone: (631) 371-3825
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 86075293 |
Profile Details
| NPI number | 1659950822 |
|---|---|
| LBN Legal business name | Kiernan, Jaclyn A |
| Credentials | RDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2021 |
| Last updated | Aug 2nd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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