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Jared Kiernicki, PA-C
NPI 1376883397 · on the registry since 2013
Practice
- Address
- 1970 S Ridge Rd
Green Bay, WI 54304 - Phone
- (920) 430-4888
- Fax
- (920) 430-4889
- Organisation at this address
- Bellin Psychiatric Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 49
Additional practice sites
- 10455 Orthopaedic Dr, Newburgh, IN
- 5828 Pearl Dr, Evansville, IN
- 4011 Gateway Blvd Ste 100, Newburgh, IN
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
Physician Assistant - Licence states on file
- KY, IN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin