IndividualActive
Jacqueline Kienholz, PA
NPI 1649618356 · Surgical Oncology Physician · Gilbert, AZ
Provider details
- NPI number
- 1649618356
- Entity type
- Individual
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA22903 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Banner MD Anderson Cancer Center
2946 E. Banner Gateway Drive
Gilbert, AZ 85234
Phone: (480) 256-6444
Fax: (480) 256-3682
Approximate (ZIP-level) locationGet directions
Mailing address
Banner MD Anderson Cancer Center
Gilbert, AZ 85234
Registry dates
- Enumerated
- 2013-06-05
- Last updated
- 2020-03-18
- Certified
- 2020-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.