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Individual

DR. PATRICK THOMAS KIERNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
162 1ST ST BLDG 1402, PORT HUENEME, CA 93043-4316
(805) 216-1663

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0102207423
VA
208D00000X
General Practice Physician
Primary
0102207423
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/22/2021
Last updated
08/07/2025
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