Most Relevant Information
Provider Data
| NPI Number: | 1003473299 |
| Provider Name: | ZACHARY KIERNAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 0116032548 |
Most Important Dates
| Enumeration Date: | 05/22/2019 |
| Last Updated: | 05/22/2019 |
Provider Practice Location
VCUHS DEPT OF SURGERY RESIDENCY, 980135
1250 E. MARSHALL STREET
RICHMOND
VA
232980135
Practice Location Phone/Fax
| Phone: | 8046289789 |
| Fax: |
Provider Mailing Location
VCUHS GMEA
BOX 980257
RICHMOND
VA
232980257
Provider Mailing Phone/Fax
| Phone: | 8048289783 |
| Fax: |