Individual
DAVID KIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
100 NEW SALEM RD, SUITE 116, UNIONTOWN, PA 15401-8936
(724) 437-0729
(724) 437-2761
Mailing address
100 NEW SALEM RD, SUITE 116, UNIONTOWN, PA 15401-8936
(724) 437-0729
(724) 437-2761
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP012577
PA
363LF0000X
Family Nurse Practitioner
Primary
SP012577
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028014890002
—
PA
Enumeration date
01/10/2013
Last updated
05/09/2017
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