Kiernicki, Jared William

Kiernicki, Jared William is an individual health care provider with primary practice located at 1970 S Ridge Rd , Green Bay WI 54304-4125. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kiernicki, Jared William can be contacted via phone (920) 430-4888.

Contact Information

Primary practice address
1970 S Ridge Rd Green Bay WI 54304-4125
Phone: (920) 430-4888
Fax: (920) 430-4889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2286 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10002329A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5235-23 Wisconsin

Profile Details

NPI number 1376883397
LBN Legal business name Kiernicki, Jared William
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2013
Last updated Jun 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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