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JACQUELINE KIENHOLZ PA NPI 1649618356


NPI Information

NPI: 1649618356
Provider Name: JACQUELINE KIENHOLZ, PA
Classification: Surgery - 2086X0206X
Entity Type: Individual

Specialization: Surgical Oncology

PECOS Registration: Yes

Address:
BANNER MD ANDERSON CANCER CENTER
2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ
ZIP 85234
Phone: (480) 256-6444
Get Directions

Jacqueline Kienholz, PA is a surgical oncology surgery in Gilbert, AZ with 12 years of experience. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. Jacqueline Kienholz, PA NPI is 1649618356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

BANNER MD ANDERSON CANCER CENTER
2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ
ZIP 85234
Phone: (480) 256-6444
Fax: (480) 256-3682

The NPI 1649618356 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/5/2013 and was last updated on 3/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA22903CALIFORNIANo
2363AS0400XPhysician AssistantSurgical5467ARIZONANo
3364SF0001XClinical Nurse SpecialistFamily HealthPA22903CALIFORNIANo
42086X0206XSurgerySurgical Oncology5467ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.