Individual
MR. DANIEL KIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1359 SIMON DR, CHESAPEAKE, VA 23320-7669
(757) 615-1692
Mailing address
3241 WESTERN BRANCH BLVD, STE A, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00110007985
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
11/21/2020
Last updated
07/23/2021
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