Mr. Christopher J Kiesow, PA-C
Physician Assistant in Mc Guire Afb, New Jersey
1356323851- Practice location
- 3458 Neely RD, 305TH Medical Group, Mc Guire Afb, NJ 08641-5312
- Phone
- 609-754-9146
- Fax
- 609-754-9662
- Last updated
- June 29, 2023
Christopher John Kiesow is a Physician Assistant based in Mc Guire Afb, NJ. Christopher John Kiesow practices in Mc Guire Afb, NJ and has the professional credentials of PA-C. The NPI Number for Christopher John Kiesow is 1356323851 and holds a License No. 21766 (NY). The current practice location address for Christopher John Kiesow is 3458 Neely RD, 305TH Medical Group, Mc Guire Afb, NJ 08641-5312 and can be reached out via phone at 609-754-9146 and via fax at 609-754-9662.
Provider Profile Details
- NPI Number
- 1356323851
- Provider Name
- Christopher John Kiesow
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3458 Neely RD, 305TH Medical Group, Mc Guire Afb, NJ 08641-5312
- Phone Number
- 609-754-9146
- Fax Number
- 609-754-9662
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 18, 2005
- Last Update Date
- June 29, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3458 Neely RD
305TH Medical Group
Mc Guire Afb, NJ 08641-5312 - City
- Mc Guire Afb
- State
- New Jersey
- Zip
- 08641-5312
- Phone Number
- 609-754-9146
- Fax Number
- 609-754-9662
Provider Business Mailing Address Details
- Address
- 24 Dover RD
Westampton, NJ 08060-2353 - City
- Westampton
- State
- NJ
- Zip
- 08060-2353
- Phone Number
- 609-261-0248
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- 21766
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Christopher J Kiesow, PA-C?
The NPI number of Mr. Christopher J Kiesow, PA-C is 1356323851. It was assigned on November 18, 2005 and is currently active in the NPPES registry.
What is the specialty of Mr. Christopher J Kiesow, PA-C?
Mr. Christopher J Kiesow, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 21766.
Where does Mr. Christopher J Kiesow, PA-C practice?
The practice location is 3458 Neely RD, 305TH Medical Group, Mc Guire Afb, NJ 08641-5312. The office can be reached at 609-754-9146 (phone) or 609-754-9662 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356323851 directly on the NPPES registry website.