Jacqueline Kienholz, PA

NPI #1649618356 in Gilbert, Arizona

Provider Information

NPI Number: 1649618356
Entity Type: Individual
Name: Jacqueline Kienholz, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery - Surgical Oncology
Credential: PA
Enumeration Date: Jun 5, 2013
Last Updated: Mar 18, 2020

Practice Location

Address: BANNER MD ANDERSON CANCER CENTER
Address 2: 2946 E. BANNER GATEWAY DRIVE
City: Gilbert
State: Arizona
ZIP Code: 85234
Phone: (480) 256-6444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X
Clinical Nurse Specialist - Family Health — Family Health	364SF0001X
Surgery - Surgical Oncology — Surgical Oncology	2086X0206X	Primary

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