Individual provider · Type 1 NPI

Kerry Kunrong Nie, PA-C

Surgical Physician Assistant · Dayton, OH

NPI number 1780770057 Active

Practice location

30 E Apple St, Ste 1480
Dayton, OH 45409-2939

Call (937) 208-3220 Map

Fax (937) 208-3633

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X50002031 (OH)

Surgical Physician Assistant: Definition to come...

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About NPI 1780770057

Kerry Kunrong Nie, PA-C's National Provider Identifier is 1780770057, issued on Oct 5, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dayton, OH. The record was last updated on Aug 10, 2015.