Kieta, David

Kieta, David is an individual health care provider with primary practice located at 100 New Salem Rd Suite 116, Uniontown PA 15401-8936. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Kieta, David can be contacted via phone (724) 437-0729.

Contact Information

Primary practice address
100 New Salem Rd Suite 116 Uniontown PA 15401-8936
Phone: (724) 437-0729
Fax: (724) 437-2761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP012577 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP012577 Pennsylvania

Profile Details

NPI number 1194062109
LBN Legal business name Kieta, David
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2013
Last updated May 9th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194062109 NPPES
Pennsylvania MEDICAID 1028014890002

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