Provider Demographics
NPI:1467664367
Name:KIERECKI, ADRIANA ISABEL (BA - ITDS)
Entity Type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:ISABEL
Last Name:KIERECKI
Suffix:
Gender:F
Credentials:BA - ITDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 W. DR. MARTIN LUTHER KING BLVD.
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614
Mailing Address - Country:US
Mailing Address - Phone:813-876-1605
Mailing Address - Fax:813-876-1620
Practice Address - Street 1:4001 W. DR. MARTIN LUTHER KING BLVD.
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614
Practice Address - Country:US
Practice Address - Phone:813-876-1605
Practice Address - Fax:813-876-1620
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist