Individual
DR. DAVID J KIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 MEDICAL PLAZA DR STE 100, ROSEVILLE, CA 95661-2866
(916) 773-0395
(916) 736-6638
Mailing address
1111 EXPOSITION BLVD BLDG 700, SACRAMENTO, CA 95815-4314
(916) 736-3399
(916) 233-4171
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
G29773
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400011479
RR MEDICARE PIN
CA
Enumeration date
04/04/2007
Last updated
04/12/2023
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