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Individual
JAMES E KIERNAN
Active
Individual
JAMES E KIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X003817-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060928
GHI PROVIDER ID #
NY
01
—
CO 38176
WCB AUTH CODE
NY
01
—
P1614199
OXFORD PROVIDER ID
NY
Enumeration date
11/01/2006
Last updated
11/27/2007
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