| Doctor Name: | JAMIE ANN KIENITZ |
| NPI Number: | 1417209552 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | R 196254-5 |
| Business Practice Address: | 9216 Page Ave Ne Otsego, MN - 553307255 |
| Business Phone Number: | 7636707102 |
| Business Fax Number: | |
| Mailing Address: | 9216 Page Ave Ne, OTSEGO |
| State: | MN |
| Postal Code: | 553307255 |
| Phone Number: | 7636707102 |
| Fax Number: | |
| NPI Enumeration Date: | 10/14/2012 |
| NPI Last Update Date: | 10/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | R 196254-5 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |