Individual
JOSEPH M. KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 TELESTAR CT, #200, FALLS CHURCH, VA 22042-1260
(703) 573-3494
(703) 573-5353
Mailing address
2901 TELESTAR CT STE 300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101042237
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101042237
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031746600
—
DC
01
—
060062813
RAILROAD MEDICARE DC #
DC
01
—
060068846
RAILROAD MEDICARE VA #
VA
05
—
1427052406
—
VA
05
—
288661800
—
MD
Enumeration date
06/08/2005
Last updated
08/27/2021
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