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Individual

DR. JAMES E MCKIERNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
18531
KY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
18531
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000617819
ANTHEM
KY
05
100373820
IN
01
1049109
PASSPORT
KY
01
2432390000
PASSPORT ADVANTAGE
KY
05
64185317
KY
01
P00719572
RAILTOAD MEDICARE
KY
Enumeration date
12/28/2005
Last updated
12/13/2013
Update your record

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