Philip Christian Kierney, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD00032120 Issued in WA

Practice address

105 27TH Ave SE
Puyallup, WA 98374-1150

Phone

(253) 848-8110

Fax

(253) 845-3561

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Philip C. Kierney M.D. P.S

  • Specialist
  • Puyallup, WA
  • NPI 1508087693
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1073644795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 27TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741150",
            "telephone_number": "253-848-8110",
            "fax_number": "253-845-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 27TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741150",
            "telephone_number": "253-848-8110",
            "fax_number": "253-845-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNEY",
        "first_name": "PHILIP",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD00032120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salochna Khetpal
• Caitlyn K Ki'Ili-Reveira
• Gary C Kiang, RPH
• Kids Choice Dental Puyallup, LLC
• Kidstalk Therapy, LLC
• Calvin A Kierum, M.D.
• Grace Tang Kiet, MD
• Pamela J Kikillus, PT, DSC
• Deborah Kiley-Gibson, MA
• Lynn Ellen Kilgus, RD

• Plastic Surgery Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Plastic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.