MR. KENNETH M NIEC PA-C - NPI 1093822447 - Physician Assistant in Burlington, WI

Q: What is Kenneth Niec's NPI number?

The NPI number for Kenneth Niec is 1093822447. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Q: What is Kenneth Niec's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Niec was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Mr. Kenneth M Niec Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH M NIEC PA-C (NPI 1093822447) is an individual physician assistant in Burlington, Wisconsin, licensed in Wisconsin (1215-023) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1093822447

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. KENNETH M NIECCredential: PA-C

Location Address248 MCHENRY STBurlington, WI 53105

Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 647-6326 · Fax (414) 671-8860

Phone(262) 767-8110

Fax(262) 767-8212

Sole ProprietorNo

Enumeration DateAugust 23, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1093822447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 1215-023

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

248 MCHENRY ST, Burlington, WI 53105

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Other Identifiers 1

Medicaid41924900WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES T MORAN MD

Internal Medicine (Cardiovascular Disease)