Kienholz, Jacqueline

Kienholz, Jacqueline is an individual health care provider with primary practice located at Banner Md Anderson Cancer Center 2946 E. Banner Gateway Drive, Gilbert AZ 85234. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family Health, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Kienholz, Jacqueline can be contacted via phone (480) 256-6444.

Contact Information

Primary practice address
Banner Md Anderson Cancer Center 2946 E. Banner Gateway Drive Gilbert AZ 85234
Phone: (480) 256-6444
Fax: (480) 256-3682
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA22903 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5467 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X PA22903 California
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 5467 Arizona

Profile Details

NPI number 1649618356
LBN Legal business name Kienholz, Jacqueline
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2013
Last updated Mar 18th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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