Individual provider · Type 1 NPI

Jarrett R. Kiesel, PA

Surgical Physician Assistant · Gainesville, GA

NPI number 1831173418 Active

Practice location

1315 Jesse Jewell Pkwy NE
Gainesville, GA 30501-3822

Call (770) 219-6520 Map

Fax (770) 219-6521

Mailing address

601 S Enota Dr NE, Suite Q
Gainesville, GA 30501-2400

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X003961 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1831173418

Jarrett R. Kiesel, PA's National Provider Identifier is 1831173418, issued on Dec 6, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gainesville, GA. The record was last updated on Nov 29, 2012.