Kietzman, Zachary Austin

Kietzman, Zachary Austin is an individual health care provider with primary practice located at 3 Farm Glen Blvd , Farmington CT 06030-1285. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Kietzman, Zachary Austin can be contacted via phone (803) 629-4134.

Contact Information

Primary practice address
3 Farm Glen Blvd Farmington CT 06030-1285
Phone: (803) 629-4134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 209707 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN236642 Georgia
Nursing Service Providers / Registered Nurse 163W00000X RN236642 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 12068 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN236642 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 12068 Connecticut

Profile Details

NPI number 1861012015
LBN Legal business name Kietzman, Zachary Austin
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2020
Last updated Aug 20th, 2023 - about 3 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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